Santosh Doddamane, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

043771 Issued in CT

Practice address

97 Barnes Road
Suite 1
Wallingford, CT 06492

Phone

(203) 284-3144

Fax

(203) 284-3140

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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

• K & S Family Practice Clinic PC

  • Family Medicine Physician
  • Wayne, MI
  • NPI 1023233855
  NPD (past)
• Professional Medical Center PC

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1619985058

  Internal Medicine

  NPD (past)
• Wayne Primary Care

  • Family Medicine Physician
  • Wayne, MI
  • NPI 1609272947
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669491775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BARNES ROAD",
            "address_2": "SUITE 1",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-284-3159",
            "fax_number": "203-284-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BARNES ROAD",
            "address_2": "SUITE 1",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-284-3144",
            "fax_number": "203-284-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDAMANE",
        "first_name": "SANTOSH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "043771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dinkler, MD
• Ethan Dipasquale
• Claudia Doan, M.S., CCC-SLP
• Doc Nutrition Clinic
• Docaxt, Inc
• Hannah Donadio
• Patrick Francis Donnelly, CPO
• Maureen Doolittle, R.P.T
• Gary David Dormandy, ATHLETIC TRAINER
• James Craig Dow, D.M.D.

• Internal Medicine Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.