Physician Compare National (NPI:1518965094)

HEALTHCARE PROVIDER: NAGA PRASUNA MADIREDDY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1518965094
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779616545
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100730000036
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MADIREDDY
	Individual professional last name
Provider First Name	NAGA
	Individual professional first name
Provider Middle Name	PRASUNA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	280 LOONEY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	PIQUA
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	453564149
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360174
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UPPER VALLEY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360013
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WILSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y