DR. SUJATHA ADDAGATLA (NPI# 1720168198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720168198 |
| Entity Type | Individual |
| Full Name | DR. SUJATHA ADDAGATLA |
| Credential | M.D. |
| Practice Address |
2900 Military Rd Niagara Falls NY 14304-1252 |
| Practice Telephone | 7162981868 |
| Practice Fax Number | 7162050836 |
| Mailing Telephone | 7162981868 |
| Mailing Fax Number | 7162050836 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
190795 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS BLUE SHIELD | 000524501007 | 01 |
| NY | INDEPENDENT HEALTH | 2509942 | 01 |
| NY | PREFERRED CARE | 163410BZ | 01 |
| NY | M EDICARE RAILROAD | 390008664 | 01 |
| NY | GHI HMO | 78433 | 01 |
| NY | UNIVERA | 00010348704 | 01 |
| NY | 01630735 | 05 | |
| NY | GHI PPO & NETWORK | 2593770 | 01 |
| Street Address |
2900 MILITARY RD |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14304-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720116643 | Niagara Nephrology, PC | Internal Medicine | 2900 Military Rd, Niagara Falls, NY 14304-1252 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903963 | Joel Nelson | Chiropractor | 2119 Sawyer Dr., Niagara Falls, NY 14304 | 2019-10-17 |
| 1992299002 | Jessica Lyn Luh | Speech-Language Pathologist | 2639 Niagara Rd, Niagara Falls, NY 14304 | 2018-06-21 |
| 1508275926 | Daniel Ivers Norton | Social Worker | 2510 Kirkbridge Dr., Bldg. 803 Rm 121, Niagara Falls, NY 14304 | 2014-08-11 |
| 1033533997 | Denise Charmaine Sawyer-winkfield | Licensed Practical Nurse | 9701 Niagara Falls Blvd Suite 1f, Aftercare Nursing Services, Niagara Falls, NY 14304 | 2014-02-13 |
| 1255769204 | Timothy Roy Bronson | Counselor | 8610 Buffalo Avenue, Niagara Falls, NY 14304 | 2013-10-29 |
| 1679825202 | Brandon Winder | Hearing Instrument Specialist | 6989 Williams Rd., Niagara Falls, NY 14304 | 2012-10-05 |
| 1952652174 | Michelle Jean Barrons | Registered Nurse | 8431 Girard Ave, Niagara Falls, NY 14304 | 2012-09-27 |
| 1285983379 | Nicole Lee Hobbs | Physical Therapist | 2111 Sawyer Dr., Niagara Falls, NY 14304 | 2012-09-05 |
| 1962712513 | Karen Marie Krug | Registered Nurse | 434 72nd Street, Niagara Falls, NY 14304 | 2010-10-18 |
| 1760626550 | Sadaf Islam | Psychiatry & Neurology | 1623 Military Road, Niagara Falls, NY 14304 | 2009-04-24 |
| Find all providers in zip 14304 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1851720684 | Western New York Truecare Medical PC | Internal Medicine | 7500 Porter Rd, Niagara Falls, NY 14304-1604 | 2013-11-02 |
| 1720116643 | Niagara Nephrology, PC | Internal Medicine | 2900 Military Rd, Niagara Falls, NY 14304-1252 | 2007-03-01 |
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|---|---|---|---|---|
| 1275171472 | Health Quest Medical Practice, PC | Internal Medicine | 667 Stoneleigh Ave Ste 123, Carmel, NY 10512-2455 | 2019-12-18 |
| 1881255370 | Marc J Yunis Md PC | Internal Medicine | 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 | 2019-06-25 |
| 1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | NIAGARA FALLS |
| Zip Code | 14304 |
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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.