Active NPI
Madhu Dukkipati, M.D.
- Interventional Cardiology Physician
- Macomb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036-109161
- 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
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00477441 | Other | IL | RAILROAD |
| 086380 | Other | IL | HEALTH ALLIANCE |
| 036109161 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051025000628 | IL | Practitioner - Interventional Cardiology | 1658398037 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Springfield Clinic, LLPSt Johns Hospital of the Hospital Sisters of the Third Order of St FThomas H Boyd Memorial HospitalBlessing Hospital
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
- Thomas H Boyd Memorial Hospital
- Sarah D Culbertson Memorial Hospital
- Blessing Hospital
- MC Donough District Hospital
- Jersey Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-109161 | IL | MD | Interventional Cardiology Physician |
Practice roles
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
619 E Mason St
Ste 4
Springfield, IL 62701
3631 S 6th St
Ste C
Springfield, IL 62703
Phone (217) 535-3685
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
619 E Mason St
Ste 4P57
Springfield, IL 62701
619 E Mason St
#4P57
Springfield, IL 62701
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
- madhu.dukkipati.1@28977.direct.athenahealth.com
Organizations & group practices 65
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.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
IL
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
IL
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
IL
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- Rural Health Clinic/Center
- Carrollton, IL
- NPI 1164507604
-
- Rural Health Clinic/Center
- Quincy, IL
- NPI 1043987571
-
- Rural Health Clinic/Center
- Warsaw, IL
- NPI 1073209763
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00477441",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "086380",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109161",
"state": "IL"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.