| Mamatha Kadiyala, MD | |
|
55 Lake Ave N, Worcester, MA 01655-0002 | |
| (508) 334-3271 | |
| (508) 856-5911 |
| Full Name | Mamatha Kadiyala |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 55 Lake Ave N, Worcester, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851382584 | NPI | - | NPPES |
| 110041533A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | U2239 (Texas) | Secondary |
| 207L00000X | Anesthesiology | 97285 (Georgia) | Secondary |
| 207L00000X | Anesthesiology | 223247 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesia Providers Llc | 7315986064 | 314 |
| Entity Name | University Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Mamatha Kadiyala, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Mamatha Kadiyala, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 334-3271 |
Layla Fakhrzadeh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Anesthesiology, Worcester, MA 01655 Phone: 508-334-3271 Fax: 508-856-5911 | |
Yoonyie Cho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Ashley E Gabrielsen, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Dr. Sergio Zendejas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015 Fax: 508-334-8235 | |
Antranig Kalaydjian, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St Ste 370, Worcester, MA 01608 Phone: 508-964-5580 Fax: 508-368-3143 | |
James Savage Iv, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
Sudershan Singla, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Department Of Anesthesiology, Worcester, MA 01605 Phone: 508-334-5897 Fax: 508-334-5179 |