Individual provider Active NPI

Madhu Babu Boppana, MD

  • Neurology Physician
  • Elmhurst, NY
National Provider Identifier
1245306000
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
199052 Issued in NY
Practice address
80TH St & 41St Ave
Elmhurst, NY 11373-1329
Phone
(718) 334-5970
Fax
(718) 334-5958
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 199052 NY Primary

Addresses

Primary practice location

80TH St & 41St Ave
Elmhurst, NY 11373-1329

Mailing address

7901 Broadway
Elmhurst, NY 11373-1329
Phone (718) 640-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040116000140 NY Practitioner - Neurology 0042111791 Reassigns benefits to 5 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Errol C. Mallett Medical PCGroup PAC ID 0042608697, 6 clinicians

Practice addresses (Care Compare)

7819 18TH Ave
Suite C
Brooklyn, NY 11214-1729
Phone (347) 462-4488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199052NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rand Medical PC Neurology Current Accepting new patients
Prestige Y Corp CurrentSince Jun 1, 2026 Accepting new patients
Healthy Point Medical Care, PC CurrentSince Dec 1, 2019 Accepting new patients
Jackson Heights Wellness Chiro P.C. CurrentSince Feb 25, 2024 Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. CurrentSince Jul 18, 2019 Accepting new patients
Errol C Mallett Medical PC CurrentSince Oct 1, 2025 Accepting new patients
Mermaid Management Inc PastSince Jan 25, 2020 Accepting new patients
Healthmakers Medical Group, P.C. Past Accepting new patients
Jal 28 LLC Past Accepting new patients

Locations

4377 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-0700

369 E 148th St
Rm 2
Bronx, NY 10455

2952 Brighton 3rd St
Ste 201
Brooklyn, NY 11235
Phone (718) 975-4334

199 Highlawn Ave
Brooklyn, NY 11223
Phone (718) 759-6523

2965 Ocean Pkwy
Ste 2B
Brooklyn, NY 11235
Phone (718) 676-0560

7819 18th Ave
Ste C
Brooklyn, NY 11214
Phone (347) 391-4250

3741 77th St
#1
Jackson Heights, NY 11372
Phone (631) 332-0694

2052 Richmond Rd
Ste B
Staten Island, NY 10306
Phone (201) 888-7877

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: madhu.boppana.1@4333.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1245306000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-640-3960",
            "fax_number": "718-224-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80TH ST & 41ST AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-5970",
            "fax_number": "718-334-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPPANA",
        "first_name": "MADHU",
        "middle_name": "BABU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "199052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.