DR. ANITHA MANDADAPU M.D
NPI 1699816744
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jeffersonville, IN

Q: What is Anitha Mandadapu's NPI number?

The NPI number for Anitha Mandadapu is 1699816744. It was assigned to this individual provider in the NPPES registry on February 10, 2007.

Q: What is Anitha Mandadapu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Anitha Mandadapu was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 10, 2007PECOS Enrolled

2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130(812) 284-8000(502) 805-0690 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Anitha Mandadapu M.d NPPES

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

DR. ANITHA MANDADAPU M.D (NPI 1699816744) is an individual child & adolescent psychiatry provider in Jeffersonville, Indiana, licensed in Kentucky (42490) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1699816744

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. ANITHA MANDADAPUCredential: M.D

Location Address2700 VISSING PARK RDJeffersonville, IN 47130-5989

Mailing Address101 W Muhammad Ali Blvd, Suite#340Louisville, KY 40202-1954 · (502) 589-8600 · Fax (502) 589-8771

Phone(812) 284-8000

Fax(502) 805-0690

Sole ProprietorNo

Enumeration DateFebruary 10, 2007

Last NPPES UpdateMarch 31, 2020

NPPES CertifiedMarch 31, 2020

✔ NPI 1699816744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in KY · 42490

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

2700 VISSING PARK RD, Jeffersonville, IN 47130

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Secondary Practice Location 1

Location 119100 Brickshire PlLouisville, KY 40245-6237 · Phone (502) 817-0927 · Fax (502) 805-0690

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Dr. Anitha Mandadapu M.d 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.

Other Providers at the Same Location NPPES 20

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

MRS. PAMELA KAY LEEZER RPH

Pharmacist