Individual provider Active NPI

Madhu Dukkipati, M.D.

  • Interventional Cardiology Physician
  • Macomb, IL
National Provider Identifier
1063436715
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036-109161 Issued in IL
Practice address
505 E Grant St Ste 110
Macomb, IL 61455-3308
Phone
(217) 528-7541
Fax
(217) 525-2535
NPI assigned
Jul 26, 2006
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036-109161 IL
Interventional Cardiology Physician 207RI0011X 036-109161 IL Primary

Addresses

Primary practice location

505 E Grant St Ste 110
Macomb, IL 61455-3308

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdukkipati99908@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20051025000628 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 1658398037 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians
Thomas H Boyd Memorial HospitalGroup PAC ID 8123085560, 30 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

100 Stahlhut Dr
Lincoln, IL 62656-5059
Phone (217) 735-9555

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

2200 Wabash Ave
Springfield, IL 62704-5352
Phone (217) 787-0727

238 S Congress
Rushville, IL 62681-1465
Phone (217) 322-4321

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

800 E Carpenter St
Springfield, IL 62702-5324
Phone 217544646444399

800 School St
Carrollton, IL 62016-1436
Phone (217) 942-6946

927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-109161ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Hospital District CurrentSince Jun 1, 2015 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Jul 24, 2012 Accepting new patients
Associated Pathologists LTD Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Mar 1, 2010 Accepting new patients
Schuyler County Hospital District CurrentSince Jun 1, 2015 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Mar 1, 2010 Accepting new patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Feb 24, 2014 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Feb 4, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Dec 15, 2015 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Springfield Clinic, LLP CurrentSince Mar 1, 2025 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Jul 24, 2012 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Dec 15, 2015 Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease Past Accepting new patients
Schuyler County Hospital District Past Accepting new patients

Locations

727 9th St
Carrollton, IL 62016
Phone (217) 942-6612

800 School St
Carrollton, IL 62016
Phone (217) 942-3600

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

505 E Grant St
Ste 110
Macomb, IL 61455
Phone (309) 833-1733

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

7323 N Knoxville Ave
Ste 300
Peoria, IL 61614

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

3631 S 6th St
Ste C
Springfield, IL 62703
Phone (217) 535-3685

619 E Mason St
#4P57
Springfield, IL 62701

619 E Mason St
Ste 4
Springfield, IL 62701

619 E Mason St
Ste 4P57
Springfield, IL 62701

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

Interoperability endpoints

  • Direct secure messaging: madhu.dukkipati.1@28977.direct.athenahealth.com
  • Direct secure messaging: mdukkipati99908@ewd.direct.hshs.org

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1063436715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST STE 110",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553308",
            "telephone_number": "217-528-7541",
            "fax_number": "217-525-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKKIPATI",
        "first_name": "MADHU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-109161",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-109161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdukkipati99908@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "619 East Mason",
            "address_2": "Suite 4P57",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627011344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macomb, IL

Sources for this page

Verify at the official NPI Registry.