NPIMap

Individual provider Active NPI

Madhu V Midathada, MD

  • Hematology & Oncology Physician
  • Lincoln, NE
National Provider Identifier
1265511034
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
23290 Issued in NE
Practice address
4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone
(402) 484-4900
Fax
(402) 484-6456
NPI assigned
Nov 3, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 23290 NE
Hematology & Oncology Physician 207RH0003X 23290 NE Primary

Addresses

Primary practice location

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548

Mailing address

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Other practice location 1

4001 Pioneer Woods Dr
Lincoln, NE 68506-7547
Phone (402) 484-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address madhu.midathada@neb.ikm.direct-ci.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000782 NE Practitioner - Hematology/Oncology 7214971530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Hematology-Oncology PCGroup PAC ID 9638083330, 19 clinicians

Practice addresses (Care Compare)

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone (402) 484-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as subgroup
Quality
67.51
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23290NEMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Hematology-Oncology, PC Hematology & Oncology CurrentSince Jul 25, 2005 Accepting new patients
CHI Health Clinic Specialty, LLC Hematology & Oncology CurrentSince Jun 22, 2021 Accepting new patients
Nemaha County Hospital Hematology & Oncology CurrentSince Aug 1, 2020 Accepting new patients
Nebraska Hematology-Oncology P.C. CurrentSince Jul 25, 2005 Accepting new patients

Locations

2022 13th St
Auburn, NE 68305
Phone (402) 274-4366

4001 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

4004 Pioneer Woods Dr
Lincoln, NE 68506
Phone (402) 484-4900

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/nemaha-659e4e0f
  • Direct secure messaging: madhu.midathada@neb.ikm.direct-ci.com

Organizations & group practices 4

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1265511034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PIONEER WOODS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067548",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Pioneer Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685067547",
            "country_code": "US",
            "telephone_number": "402-484-4900",
            "fax_number": "402-484-6456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDATHADA",
        "first_name": "MADHU",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NE",
            "license": "23290",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "23290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madhu.midathada@neb.ikm.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Madhu Midathada",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4004 Pioneer Woods Dr",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685067548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.