Active NPI
Vemkata Maddineni, M.D.
- Anesthesiology Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 199936-1
- Practice address
- 1000 Montauk Hwy
Good Samaritan Hospital
West Islip, NY 11795-4927 - Phone
- (631) 376-4088
- NPI assigned
- Feb 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 199936-1 | NY | Primary |
| Anesthesiology Physician | 207L00000X | 35471 | WV |
Addresses
Primary practice location
1000 Montauk Hwy
Good Samaritan Hospital
West Islip, NY 11795-4927
Mailing address
165 Coachman PL W
Syosset, NY 11791-3059
Phone (516) 364-6414
Other practice location 1
501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01710163 | Medicaid | NY | |
| 1811969546 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35471 | WV | MD | Licensed Practical Nurse |
| 199936-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| Long Island Anesthesiologists, PLLC | Anesthesiology | Current | Accepting new patients |
| New York University Medical Center | Past | Accepting new patients | |
| Nassau Anesthesia Associates, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
369 E Main St
Ste 18
East Islip, NY 11730
Phone (631) 277-1600
210 W Park Ave
Long Beach, NY 11561
Phone (516) 431-4800
3 Boyle Rd
Selden, NY 11784
Phone (631) 716-6000
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200
Organizations & group practices 5
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.
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Anesthesiology Physician
- West Islip, NY
- NPI 1528161171
-
- Critical Care Medicine (Internal Medicine) Physician
- West Islip, NY
- NPI 1548501620
-
- Anesthesiology Physician
- Mineola, NY
- NPI 1568517027
-
dba NYUMC Non-Invasive Diagnostic Associates
- Cardiovascular Disease Physician
- New York, NY
- NPI 1972553139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1811969546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 COACHMAN PL W",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117913059",
"telephone_number": "516-364-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MONTAUK HWY",
"address_2": "GOOD SAMARITAN HOSPITAL",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954927",
"telephone_number": "631-376-4088"
}
],
"practiceLocations": [
{
"address_1": "501 Morris St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADDINENI",
"first_name": "VEMKATA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "199936-1",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "35471",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01710163",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811969546",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.