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KASHYAP MADDALI DDS
NPI 1316353477
Dentist - General Practice in Rockford, IL

Active since July 09, 2014PECOS Enrolled
1301 N ALPINE RD, ROCKFORD, IL 61107(815) 397-4280(815) 484-2436 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kashyap Maddali Dds NPPES

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

KASHYAP MADDALI DDS (NPI 1316353477) is an individual general practice provider in Rockford, Illinois, licensed in Illinois (019.029910) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316353477
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKASHYAP MADDALICredential: DDS
Location Address1301 N ALPINE RDRockford, IL 61107-2262
Mailing Address1301 N Alpine RdRockford, IL 61107-2262 · (815) 397-4280 · Fax (815) 484-2436
Phone(815) 397-4280
Fax(815) 484-2436
Sole ProprietorNo
Enumeration DateJuly 9, 2014
✔ NPI 1316353477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.029910
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1301 N ALPINE RD, Rockford, IL 61107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Kashyap Maddali Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

ROCKFORD DENTAL CARE, P.C.
Dentist
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (815) 397-4280
DR. ANTHONY E JOHNSTON D.D.S.
Dentist (General Practice)
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (815) 397-4280
DR. LOAN T NGUYEN D.M.D.
Dentist (General Practice)
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (815) 397-4280
DR. MATT A MLSNA D.D.S.
Dentist (General Practice)
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (815) 397-4280
DR. JASON J CARLSON D.M.D.
Dentist
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (815) 397-4280
KAORY GOMEZ-CALZADA DDS
Dentist (General Practice)
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (815) 397-4280
MISS STEPHANIE JO YANNI PTA
Physical Therapy Assistant
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (779) 696-4590
DR. RICHARD L ZANOCCO D.D.S.
Dentist (General Practice)
1301 N ALPINE RD
ROCKFORD, IL 61107
Winnebago County (815) 397-4280

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 Kashyap Maddali's NPI number?

The NPI number for Kashyap Maddali is 1316353477. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Kashyap Maddali located?

Kashyap Maddali practices at 1301 N Alpine Rd, Rockford, IL 61107. The listed phone number is (815) 397-4280.

What is Kashyap Maddali's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kashyap Maddali enrolled in Medicare?

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

What insurance does Kashyap Maddali accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 2 other insurers list Kashyap 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 Kashyap Maddali was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.