Individual provider Active NPI

Madhu C Reddy, M.D.

  • Nephrology Physician
  • Alpharetta, GA
National Provider Identifier
1275736993
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
059385 Issued in GA
Practice address
11810 Northfall LN Ste 1202
Alpharetta, GA 30009-7975
Phone
(770) 663-8766
Fax
(770) 663-8767
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 059385 GA Primary

Addresses

Primary practice location

11810 Northfall LN Ste 1202
Alpharetta, GA 30009-7975

Mailing address

11810 Northfall LN Ste 1202
Alpharetta, GA 30009-7975
Phone (770) 663-8766

Other identifiers 1

IdentifierTypeStateIssuer
154427215BMedicaidGA

Other names 1

  • Dr. Madhukar Chelamcharla Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20070809000198 GA Practitioner - NephrologyPractitioner - Internal Medicine 8022097203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Nephrology, IncGroup PAC ID 4183778046, 2 clinicians

Practice addresses (Care Compare)

11810 Northfall LN
Suite 1202
Alpharetta, GA 30009-7975
Phone (770) 663-8761

Hospital & facility affiliations

  • Usrc Roswell Dialysis facility, Roswell, GA, CCN 112845
  • Usrc Cumming Dialysis Dialysis facility, Cumming, GA, CCN 112839
  • DaVita Mcfarland Dialysis Dialysis facility, Alpharetta, GA, CCN 112870
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
21.75 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059385GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Nephrology, Inc Nephrology CurrentSince Jun 25, 2015 Accepting new patients
North Atlanta Heart & Vascular Centre PastSince Jul 1, 2017 Accepting new patients

Locations

11780 Northfall Ln
Ste 304
Alpharetta, GA 30009
Phone (770) 663-8761

11810 Northfall Ln
Ste 1202
Alpharetta, GA 30009
Phone (770) 663-8761

107 Colony Park Dr
Ste 400
Cumming, GA 30040
Phone (770) 777-1359

11685 Alpharetta Hwy
Ste 325
Roswell, GA 30076
Phone (770) 663-8766

Interoperability endpoints

  • Direct secure messaging: reddy.madhu@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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.

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1275736993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 NORTHFALL LN STE 1202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097975",
            "telephone_number": "770-663-8766",
            "fax_number": "770-663-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 NORTHFALL LN STE 1202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097975",
            "telephone_number": "770-663-8766",
            "fax_number": "770-663-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MADHU",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "059385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154427215B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHUKAR",
            "last_name": "CHELAMCHARLA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.