Sravanthi Madala, M.D.
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Maynard, MA
NPI 1134564859 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1134564859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 277679 (MA)
- Practice address
- 21 Main St
Maynard, MA 01754-2505 - Phone
- (978) 287-8520
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Emerson Practice Associates, Inc
Practice addresses (Care Compare)
131 Old Rd to 9 Acre Cor
Concord, MA 01742
Phone (978) 287-3835
Hospital & facility affiliations
- Emerson Hospital -
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190401001790 | MA | Practitioner - Internal Medicine | 3678893120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277679 | MA | MD | Endocrinology, Diabetes & Metabolism Physician |
| LP03596 | RI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Current |
Accepting new patients |
Locations
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
131 Ornac
Ste 700
Concord, MA 01742
Phone (978) 369-1579
21 Main St
Maynard, MA 01754
Phone (973) 494-6663
Interoperability endpoints
- madala.sravanthi.epa@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | LP03596 | RI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 277679 | MA | Yes |
Addresses
Primary practice location
21 Main St
Maynard, MA 01754-2505
Mailing address
21 Main St
Maynard, MA 01754-2505
Phone (978) 287-8520
Other providers in Maynard, MA
- Jacqueline Lesage
- Anne Marie Lesniak-Betley
- Marnda Nicole Leverette
- Look Optical, Incorporated
- Rachel Ann Macgillivary
- Abdullah Mamun
- Anne Elizabeth Manning
- Adrienne Martin
- Maynard Dental Associates, LLC
- Maynard Family Dentists PC
All providers in Maynard, MA · Endocrinology, Diabetes & Metabolism Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.