Active NPI
Ramakrishna Madala, M.D.
- Anesthesiology Physician
- Springfield, IL
National Provider Identifier
1699763433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Practice address
- 800 East Carpenter St
Room 2K64
Springfield, IL 62769-0001 - Phone
- (217) 525-5643
- Fax
- (217) 544-2521
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | Primary |
Addresses
Primary practice location
800 East Carpenter St
Room 2K64
Springfield, IL 62769-0001
Mailing address
800 East Carpenter St
Room 2K64
Springfield, IL 62769-0001
Phone (217) 525-5643
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187256 | Other | IL | HEALTHLINK UPIN NUMBER |
| 085972 | Other | IL | HEALTH ALLIANCE NUMBER |
| 08415040 | Other | IL | BLUE CROSS BLUE SHIELD |
| L031806 | Other | IL | CHAMPUS/TRICARE |
| 104409 | Other | IL | HEALTHLINK GROUP NUMBER |
| 32490 | Other | IL | PERSONAL CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sangamon Associated Anesthesiologists, S.C. | Anesthesiology | Past | Accepting new patients |
| Sangamon Associated Anesthesiologists, S.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1013961515
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1699712661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1699763433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 EAST CARPENTER ST",
"address_2": "ROOM 2K64",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627690001",
"telephone_number": "217-525-5643",
"fax_number": "217-544-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 EAST CARPENTER ST",
"address_2": "ROOM 2K64",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627690001",
"telephone_number": "217-525-5643",
"fax_number": "217-544-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADALA",
"first_name": "RAMAKRISHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK UPIN NUMBER",
"identifier": "187256",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE NUMBER",
"identifier": "085972",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08415040",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "L031806",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK GROUP NUMBER",
"identifier": "104409",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE",
"identifier": "32490",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.