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Individual provider Active NPI

Chinedu Uzoma Maduakolam, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1114912557
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01060259A Issued in IN
Practice address
6865 Parkdale PL
Suite a
Indianapolis, IN 46254-5654
Phone
(317) 291-1211
Fax
(317) 291-1194
NPI assigned
Sep 12, 2005
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01060259A IN
Emergency Medicine Physician 207P00000X 01060259A IN Primary

Addresses

Primary practice location

6865 Parkdale PL
Suite a
Indianapolis, IN 46254-5654

Mailing address

6865 Parkdale PL
Suite a
Indianapolis, IN 46254-5654
Phone (317) 291-1211

Other practice location 1

PO Box 635004
PO Box 635004
Cincinnati, OH 45263-5004
Phone (888) 952-6772

Other practice location 2

275 W 12th St
Peru, IN 46970-1638
Phone (765) 472-8000

Other identifiers 4

IdentifierTypeStateIssuer
7100130540MedicaidKY
0103805MedicaidOH
20811710MedicaidIN
200811710MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041006000361 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 7517952039 Reassigns benefits to 1 organization
I20060104000235 IN Practitioner - Emergency Medicine 7517952039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eldorado Emergency Group PCGroup PAC ID 3678955028, 14 clinicians

Practice addresses (Care Compare)

1201 Pine St
Eldorado, IL 62930-1634
Phone (618) 273-3361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.25 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Eldorado Emergency Group PC Emergency Medicine CurrentSince Jul 2, 2022 Accepting new patients
Crawford Hospital District CurrentSince Mar 2, 2023 Accepting new patients
Crawford Hospital District CurrentSince Mar 2, 2023 Accepting new patients
Crawford Hospital District Current Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Major Hospital Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
Vesta Solutions Group, LLC Past Accepting new patients
Hoosier Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Reddy Pop Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

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

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

275 W 12th St
Peru, IN 46970
Phone (317) 472-8022

2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: cmadu@yourcarecommunity.org

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1114912557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 PARKDALE PL",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545654",
            "telephone_number": "317-291-1211",
            "fax_number": "317-291-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 PARKDALE PL",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545654",
            "telephone_number": "317-291-1211",
            "fax_number": "317-291-1194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO BOX 635004",
            "address_2": "PO BOX 635004",
            "address_purpose": "LOCATION",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635004",
            "country_code": "US",
            "telephone_number": "888-952-6772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IN",
            "postal_code": "469701638",
            "country_code": "US",
            "telephone_number": "765-472-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADUAKOLAM",
        "first_name": "CHINEDU",
        "middle_name": "UZOMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01060259A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01060259A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100130540",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103805",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20811710",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.