Madhava Rao Kanakamedala, M.D.,

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

208512947 Issued in MS

Practice address

1000 S Coulter St Ste 100
Amarillo, TX 79106-1781

Phone

(806) 358-8654

Fax

(806) 356-8687

NPI assigned

Mar 20, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score

85.12 of 100Reported as apm

Quality

67.48

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• TX HMO D-SNP
• TX HMO
• NM HMO C-SNP

Interoperability endpoints

• Direct secure messaging: madhava.kanakamedala@txo.ikm.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Texas Oncology PA

  • Medical Oncology Physician
  • El Paso, TX
  • NPI 1811944101

  Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Texas Oncology PA

  • Medical Oncology Physician
  • Pearland, TX
  • NPI 1912174350

  Radiation Oncology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Northwest Texas Healthcare System Inc

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1013158013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COULTER ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061781",
            "telephone_number": "806-358-8654",
            "fax_number": "806-356-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAKAMEDALA",
        "first_name": "MADHAVA",
        "middle_name": "RAO",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "208512947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404425701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04978239",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01580613",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kahlabria Medical Services
• Elizabeth Anne Kahlich, MS, RD
• Kaleidoscope Enterprises LLC
• Kalil Al-Nassir, MD PA
• Lauren Kaminski, PT, DPT
• Christy L Kane, SLP
• Ragini Kanikanti, DDS
• Hannah Noel Kaplan, LPC
• Osama Asad Suleiman Karajeh, M.D.
• Karibu Services LLC

• Radiation Oncology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.