NPIMap

Individual provider Active NPI

Surekha Boddipalli, M.D.

  • Hematology & Oncology Physician
  • Gibson City, IL
National Provider Identifier
1255656948
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036140535 Issued in IL
Practice address
1120 N Melvin St
Gibson City, IL 60936-1477
Phone
(217) 784-2332
Fax
(217) 680-0005
NPI assigned
Apr 6, 2010
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036140535 IL Primary

Addresses

Primary practice location

1120 N Melvin St
Gibson City, IL 60936-1477

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-2000

Other names 1

  • Surekha Madudula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KS, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160812000287 IL Practitioner - Hematology/Oncology 3971897059 Reassigns benefits to 3 organizations
I20251115000407 KS Practitioner - Hematology/Oncology 3971897059 Reassigns benefits to 1 organization
I20251205003287 OR Practitioner - Hematology/Oncology 3971897059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140535ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Oct 9, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Nov 1, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Nov 1, 2025 Accepting new patients
Gibson Community Hospital Association CurrentSince Nov 1, 2025 Accepting new patients
Wallowa County Health Care District CurrentSince Nov 20, 2025 Accepting new patients
Wallowa County Health Care District Current Accepting new patients
Gibson Community Hospital Association CurrentSince Nov 1, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2016 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Wallowa County Health Care District CurrentSince Nov 20, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince Aug 1, 2016 Accepting new patients
Hays Medical Center, Inc. Hematology & Oncology CurrentSince Oct 9, 2025 Accepting new patients
Gibson Community Hospital Association CurrentSince Nov 1, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

40 S Clay St
Ste 200
Hinsdale, IL 60521
Phone (630) 364-7850

17495 La Grange Rd
Tinley Park, IL 60487
Phone (708) 226-7000

2214 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 261-7672

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1255656948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-2332",
            "fax_number": "217-680-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDIPALLI",
        "first_name": "SUREKHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036140535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUREKHA",
            "last_name": "MADUDULA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gibson City, IL

Sources for this page

Verify at the official NPI Registry.