Neelima Maddukuri, M.D

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

M9471 Issued in TX

Practice address

2010 Ben Merritt Dr
Suite a
Decatur, TX 76234-3854

Phone

(940) 626-2300

Fax

(940) 626-2315

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Denton Hospital, Denton, TX, CCN 450634
• Faith Community Hospital Hospital, Jacksboro, TX, CCN 450241
• Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
• Nocona General Hospital Hospital, Nocona, TX, CCN 450641

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neelima.maddukuri@txo.ikm.direct-ci.com
• Direct secure messaging: neelimamaddukuri@wise.allscriptsdirect.net

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.

• Texas Oncology PA

  • Medical Oncology Physician
  • El Paso, TX
  • NPI 1811944101

  Hematology & Oncology

  Medicare reassignment Care Compare group NPD
• Wise Clinical Care Associates

  • Family Medicine Physician
  • Bridgeport, TX
  • NPI 1679719801

  Hematology & Oncology

  Medicare reassignment NPD
• Decatur Hospital Authority

  • Skilled Nursing Facility
  • Decatur, TX
  • NPI 1124076401
  NPD
• Texas Oncology PA

  • Medical Oncology Physician
  • Webster, TX
  • NPI 1821265265

  Hematology & Oncology

  NPD
• Texas Oncology PA

  • Medical Oncology Physician
  • Pearland, TX
  • NPI 1912174350

  Hematology & Oncology

  NPD
• Wise Clinical Care Associates

  • Urgent Care Clinic/Center
  • Haslet, TX
  • NPI 1386112506
  NPD (past)

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

• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Jack County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Jacksboro, TX
  • NPI 1154419612

  Hospital

  Care Compare affiliation
• Jack County Hospital District

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696
  Care Compare affiliation
• Nocona Hospital District

  • General Acute Care Hospital
  • Nocona, TX
  • NPI 1689655912
  Care Compare affiliation
• Texas Health Presbyterian Hospital Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1003883158
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1366549735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346156",
            "telephone_number": "940-626-2300",
            "fax_number": "940-626-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BEN MERRITT DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343854",
            "telephone_number": "940-626-2300",
            "fax_number": "940-626-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDUKURI",
        "first_name": "NEELIMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "M9471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208940103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CU842",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeri Kay Long-Kao, LPC, MA MFT
• Thomas N Long, MD
• Ericka Lupardus, DC
• Amy Michelle Lynd, FNP-C
• Steven Maddox, PHARMD
• Simone Knobel Maiden, FNP-C
• Charles Leslie Majka, M.D.
• Daniel C. Mallory, D.D.S., M.S.
• Danielle Manetta, LCSW
• Marcus Foos, M.D., P.a.

• Hematology & Oncology Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.

Verify at the official NPI Registry.