VENKATESWARA RAO DIKKALA, M.D.
NPI 1750509634
Clinic/Center - Primary Care in Lawrenceville, GA

NPI Status: Active since April 23, 2007

Contact Information

2775 CRUSE RD
SUITE 1801
LAWRENCEVILLE, GA
ZIP 30044
Phone: (678) 380-9199
Fax: (770) 935-0199

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 11D1055197
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-11-2026

About VENKATESWARA RAO DIKKALA, M.D.

This page provides the complete NPI Profile along with additional information for Venkateswara Rao Dikkala, M.d., a primary care provider established in Lawrenceville, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1750509634 assigned on April 2007. The practitioner's primary taxonomy code is 261QP2300X with license number 048226 (GA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Venkateswara Rao Dikkala, M.d.. The authorized official of this NPI record is Dr. Venkateswara Rao Dikkala M.d. (Member)

NPI
1750509634
Provider Legal Name
KIDS CHOICE PEDIATRICS,LLC
Other Organization Name
VENKATESWARA RAO DIKKALA, M.D.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2775 CRUSE RD SUITE 1801 LAWRENCEVILLE, GA 30044
Location Phone
(678) 380-9199
Location Fax
(770) 935-0199
Mailing Address
2775 CRUSE RD SUITE 1801 LAWRENCEVILLE, GA 30044
Mailing Phone
(678) 380-9199
Mailing Fax
(770) 935-0199
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2007
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Venkateswara Rao Dikkala, M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
048226
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VENKATESWARA RAO DIKKALA M.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(678) 380-9199

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1023076387OTHER (01)GAINDIVIDUAL NPI NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1055197
Facility Type
Physician Office
Certificate Effective Date
June 12, 2024
Certificate Expiration Date
June 11, 2026
Laboratory Director
VENKATESWARA R. DIKKALA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Venkateswara Rao Dikkala, M.d. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VENKATESWARA RAO DIKKALA, M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750509634
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001001866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 1 + 8 + 6 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1750509634 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023076387DR. VENKATESWARA RAO DIKKALA M.D.
Individual
Pediatrics2775 CRUSE RD SUITE 1801
LAWRENCEVILLE, GA 30044
(678) 380-9199
1821151754 FRANKLIN C EZEOKE
Individual
Durable Medical Equipment & Medical Supplies2775 CRUSE RD STE 1901
LAWRENCEVILLE, GA 30044
(770) 806-9811
1295906709SIGNATURE WOMEN'S HEALTHCARE
Organization
Obstetrics & Gynecology2775 CRUSE RD STE 2101
LAWRENCEVILLE, GA 30044
(404) 380-1200
1407095243RESPONSIBLE CHILD, LLC
Organization
Community/Behavioral Health2775 CRUSE RD SUITE 1601
LAWRENCEVILLE, GA 30044
(678) 924-3201
1275854002BETHESDA MEDICAL EQUIPMENT & SUPPLY CO, INC
Organization
Durable Medical Equipment & Medical Supplies2775 CRUSE RD STE 1603
LAWRENCEVILLE, GA 30044
(770) 872-0521
1871863159 JANET M WARING LPC
Individual
Counselor2775 CRUSE RD SUITE 1601
LAWRENCEVILLE, GA 30044
(770) 841-6312
1497021489FAMILY GUIDANCE LLC
Organization
Point of Service2775 CRUSE RD SUITE 1601
LAWRENCEVILLE, GA 30044
(770) 841-6312
1518938091DR. JACQULINE NAUDIA HAYLES-PATTERSON M.D.
Individual
Obstetrics & Gynecology2775 CRUSE RD SUITE 2101
LAWRENCEVILLE, GA 30044
(678) 380-1200
1144280439DR. TYNDAL MICHELE JONES M.D.
Individual
Obstetrics & Gynecology2775 CRUSE RD
LAWRENCEVILLE, GA 30044
(678) 380-1200
1275736258JAS LINKS HEALTH CARE SERVICES AND MEDICAL SUPPLY
Organization
Home Health2775 CRUSE RD STE 1901
LAWRENCEVILLE, GA 30044
(404) 806-0507
1851014963 LOVIA MCCRAY
Individual
Specialist/Technologist, Other2775 CRUSE RD
LAWRENCEVILLE, GA 30044
(470) 840-6447

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750509634, enumerated in the NPI registry as an "organization" on April 23, 2007

The provider is located at 2775 Cruse Rd Suite 1801 Lawrenceville, Ga 30044 and the phone number is (678) 380-9199

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 11D1055197 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.