NPIMap

Individual provider Active NPI

Venkata Lakshmi Prasanna Kotapati

  • Internal Medicine Physician
  • Farmville, VA
National Provider Identifier
1700307956
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101268833 Issued in VA
Practice address
800 Oak St
Farmville, VA 23901-1199
Phone
(434) 200-5203
NPI assigned
Jun 28, 2017
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101268833 VA Primary
Hospitalist Physician 208M00000X 0101268833 VA

Addresses

Primary practice location

800 Oak St
Farmville, VA 23901-1199

Mailing address

4904 Mountain Laurel Dr
Lynchburg, VA 24503-1971
Phone (914) 826-0153

Other practice location 1

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 200-3656

Other names 1

  • Dr. Venkata Lakshmi Prasanna Maddukuri Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200911000789 VA Practitioner - Internal MedicinePractitioner - Hospitalist 5496025280 Reassigns benefits to 4 organizations
I20240827002405 NC Practitioner - Internal Medicine 5496025280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

124 One Ctr CT
Franklin, NC 28734-0192
Phone (828) 524-8411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101268833VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Medical Group, PC Hospitalist CurrentSince Nov 13, 2024 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Jun 10, 2024 Accepting new patients
Universal Health Corporation Internal Medicine CurrentSince Jan 26, 2024 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Jun 10, 2024 Accepting new patients
Blue Ridge Health Center Inc CurrentSince Jun 10, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jun 19, 2024 Accepting new patients

Locations

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

624 Jones St
Appomattox, VA 24522
Phone (434) 263-4000

4038 Thomas Nelson Hwy
Arrington, VA 22922
Phone (434) 263-4000

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Interoperability endpoints

  • Direct secure messaging: venkata.kotapati@931260887072772.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1700307956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 MOUNTAIN LAUREL DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031971",
            "telephone_number": "914-826-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011199",
            "telephone_number": "434-200-5203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Tate Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011109",
            "country_code": "US",
            "telephone_number": "434-200-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTAPATI",
        "first_name": "VENKATA LAKSHMI",
        "middle_name": "PRASANNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101268833",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101268833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENKATA LAKSHMI",
            "last_name": "MADDUKURI",
            "middle_name": "PRASANNA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.