Individual provider Active NPI

Parwati C Maddali, M.D.

  • Psychiatry Physician
  • Rockledge, FL
National Provider Identifier
1669475497
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME66568 Issued in FL
Practice address
845 Executive LN
100
Rockledge, FL 32955-3528
Phone
(321) 631-4222
Fax
(321) 631-4302
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME66568 FL Primary

Addresses

Primary practice location

845 Executive LN
100
Rockledge, FL 32955-3528

Mailing address

PO Box 561527
Rockledge, FL 32956-1527
Phone (321) 631-4222

Other identifiers 1

IdentifierTypeStateIssuer
25999OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000221 FL Practitioner - Psychiatry 5597660977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

845 Executive Lane
Suite 100
Rockledge, FL 32955-3528

845 Executive LN
Suite 100
Rockledge, FL 32955-3528
Phone (321) 631-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME66568FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parwati Maddali MD Professional Association Psychiatry CurrentSince Apr 21, 2003 Accepting new patients

Locations

845 Executive Ln
Ste 100
Rockledge, FL 32955
Phone (321) 631-4222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1669475497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561527",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329561527",
            "telephone_number": "321-631-4222",
            "fax_number": "321-631-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 EXECUTIVE LN",
            "address_2": "100",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553528",
            "telephone_number": "321-631-4222",
            "fax_number": "321-631-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALI",
        "first_name": "PARWATI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME66568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25999",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.