RADHIKA MADDALI MD
NPI 1023672664
Pediatrics - Neonatal-Perinatal Medicine in Lexington, KY

Q: What is Radhika Maddali's NPI number?

The NPI number for Radhika Maddali is 1023672664. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Q: What is Radhika Maddali's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Radhika Maddali was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2019PECOS Enrolled

800 ROSE ST FL 1, LEXINGTON, KY 40536(859) 562-1085(859) 257-5152 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Jul 2, 2019, Apr 29, 2019 (3 updates tracked since 2019).

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About Radhika Maddali Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADHIKA MADDALI MD (NPI 1023672664) is an individual neonatal-perinatal medicine provider in Lexington, Kentucky, licensed in Kentucky (60671) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1023672664

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameRADHIKA MADDALICredential: MD

Location Address800 ROSE ST FL 1Lexington, KY 40536-7001

Mailing Address800 Rose St Fl 1Lexington, KY 40536-7001

Phone(859) 562-1085

Fax(859) 257-5152

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateApril 29, 2019

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1023672664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in KY · 60671

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

800 ROSE ST FL 1, Lexington, KY 40536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radhika Maddali Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870823800

PECOS Enrollment IDI20250730001591

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE THORNTON GORDON DMD

Dentist