RAJA C MADDIPOTI (NPI# 1215019328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215019328 |
| Entity Type | Individual |
| Full Name | RAJA C MADDIPOTI |
| Credential | M.D. |
| Practice Address |
503 N Maple St Effingham IL 62401-2006 |
| Practice Telephone | 2173423700 |
| Practice Fax Number | 2173426286 |
| Mailing Telephone | 2173423700 |
| Mailing Fax Number | 2173426286 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 036-082727 | IL | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036082727 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036082727 | 05 | |
| IL | RAILROAD | 060067999 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 409 W Oak St, Carbondale, IL 629011414 | 6185294455 | 6183511287 |
| Street Address |
503 N MAPLE ST |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578525366 | Ashokkumar Vinaychandra Shah | Anesthesiology | 503 N Maple St, Effingham, IL 62401-2006 | 2006-04-05 |
| 1881214104 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | General Acute Care Hospital | 503 N Maple St, Effingham, IL 62401-2006 | 2020-04-17 |
| 1205487790 | Amanda Baker | Physical Therapist | 503 N Maple St, Effingham, IL 62401-2006 | 2019-09-25 |
| 1013564962 | Jodi Lynn Isley | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401-2099 | 2019-08-23 |
| 1699320234 | Kathryn Michelle Rincker | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401 | 2019-08-08 |
| 1093280901 | Bethany Renee Stone | Nurse Practitioner | 503 N Maple St, Effingham, IL 62401-2006 | 2018-10-06 |
| 1265929160 | Bridget Katherine Estes | Nurse Anesthetist, Certified Registered | 503 N Maple St, Effingham, IL 62401-2099 | 2018-04-16 |
| 1538661475 | Cep America Illinois Intensivists | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-03-07 |
| 1710489349 | Adrienne Beth Kinney | Family Medicine | 503 N Maple St, Effingham, IL 62401 | 2018-02-28 |
| 1629577812 | Cepamerica Illinois LLP | Emergency Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528343043 | Asim Nazir Cheema | Internal Medicine | 713 Bent Tree Dr, Effingham, IL 62401-3159 | 2011-10-16 |
| 1306089024 | Jessica Jean Prange | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2009-04-10 |
| 1548211584 | Juan J. Vazquez-bauza | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2006-05-15 |
| 1689638595 | Masoor Kamalesh | Internal Medicine | 503 N Maple St, Effingham, IL 62401-2006 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.