Active NPI
Madeva Gunnala, FNP-BC
- Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1619833035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2025042602
- Practice address
- 3210 N Leisure World Blvd Apt 1008
Silver Spring, MD 20906-7606 - Phone
- (301) 633-3000
- NPI assigned
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2025042602 | MD | Primary |
Addresses
Primary practice location
3210 N Leisure World Blvd Apt 1008
Silver Spring, MD 20906-7606
Mailing address
3210 N Leisure World Blvd Apt 1008
Silver Spring, MD 20906-7606
Phone (301) 633-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025042602 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1619833035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3210 N LEISURE WORLD BLVD APT 1008",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209067606",
"telephone_number": "301-633-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 N LEISURE WORLD BLVD APT 1008",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209067606",
"telephone_number": "301-633-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNALA",
"first_name": "MADEVA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-30",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "2025042602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.