Active NPI
Madhu Babu Boppana, MD
- Neurology Physician
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 199052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 199052 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rand Medical PC | Neurology | Current | Accepting new patients |
| Prestige Y Corp | Current | Accepting new patients | |
| Healthy Point Medical Care, PC | Current | Accepting new patients | |
| Jackson Heights Wellness Chiro P.C. | Current | Accepting new patients | |
| Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. | Current | Accepting new patients | |
| Errol C Mallett Medical PC | Current | Accepting new patients | |
| Mermaid Management Inc | Past | 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
- 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.
-
- Specialist
- Brooklyn, NY
- NPI 1083131635
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1174537948
-
- General Practice Physician
- Brooklyn, NY
- NPI 1790915668
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1073962304
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1154520765
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1881948313
-
- Clinic/Center
- Jackson Heights, NY
- NPI 1134984065
-
- Specialist
- Brooklyn, NY
- NPI 1417611435
-
- Physical Therapist
- Forest Hills, NY
- NPI 1659520948
-
- Clinic/Center
- Brooklyn, NY
- NPI 1063278281
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1962793273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.