Prasad Maddukuri MD PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

P2895 Issued in TX

Legal business name

PRASAD MADDUKURI MD PLLC

Practice address

341 Wheatfield Dr
Suite 190
Sunnyvale, TX 75182-4638

Phone

(972) 686-8200

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Prasad V Maddukuri, MDNPI 1902857295

Title

Governing Member

Phone

(617) 319-1958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prasad V Maddukuri, MD

  • Cardiovascular Disease Physician
  • Sunnyvale, TX
  • NPI 1902857295
  Medicare reassignment Care Compare group NPD Authorized official
• Larry C Moore, M.D.

  • Cardiovascular Disease Physician
  • Mesquite, TX
  • NPI 1770553174
  Medicare reassignment Care Compare group NPD
• Apurva Dineshbhai Patel, M.D.

  • Cardiovascular Disease Physician
  • Mansfield, TX
  • NPI 1720424542

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Saleem H Mallick, MD

  • Interventional Cardiology Physician
  • Mesquite, TX
  • NPI 1588620884
  Medicare reassignment NPD
• Adam Reynolds, MD

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1851658900
  Medicare reassignment NPD
• Krishna Chaithanya Tatineni, M.D.

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1336300631

  Single Specialty

  Medicare reassignment NPD
• Abigail Sylvia Martin, PA-C

  • Medical Physician Assistant
  • Sunnyvale, TX
  • NPI 1376392753
  Medicare reassignment

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1922450170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850214",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751850214",
            "telephone_number": "888-212-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR",
            "address_2": "SUITE 190",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824638",
            "telephone_number": "972-686-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD MADDUKURI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "MADDUKURI",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "GOVERNING MEMBER",
        "authorized_official_telephone_number": "617-319-1958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "P2895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Sunnyvale, TX
• Providers in Sunnyvale, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.