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

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: October 25, 2026.

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

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.

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
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 Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Radhika Maddali reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1518911338 (859) 323-5470
Kentucky Medical Services Foundation, Inc
3.4 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
Saint Joseph Health System, Inc
66 mi
Rural Health
298 BOGLE ST STE A
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 46 clinicians in this Medicare group
NPI 1609543651 (606) 679-9213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 323-5831
BROOKE ISABELLA DIPASQUALE PA
Physician Assistant
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
RAVI CHETAN BHAVSAR MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
IANNA BLANCHARD MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
ERIN MOLLOY MD
Pediatrics (Pediatric Critical Care Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
RAHUL JIJU JOSEPH MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085
CHRISTEN MICHELLE RICHARDSON PA
Physician Assistant
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 323-6542
VALERIE D PHEBUS PA
Physician Assistant
800 ROSE ST FL 1
LEXINGTON, KY 40536
Fayette County (859) 562-1085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Radhika Maddali located?

Radhika Maddali practices at 800 Rose St Fl 1, Lexington, KY 40536. The listed phone number is (859) 562-1085.

What is Radhika Maddali's specialty?

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

Is Radhika Maddali enrolled in Medicare?

Yes. Radhika Maddali is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Radhika Maddali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radhika Maddali reassigns Medicare benefits to 3 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY) and Saint Joseph Health System, Inc (Somerset, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Radhika Maddali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Radhika Maddali accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Radhika Maddali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 16 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.