Individual provider Active NPI

Madhuri Chengappa, MD

  • Hematology & Oncology Physician
  • Minneapolis, MN
National Provider Identifier
1376034652
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
104039 Issued in GA
Practice address
420 Delaware St SE, MMC 480
Minneapolis, MN 55455
Phone
(612) 626-0400
NPI assigned
May 23, 2018
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X 104039 GA Primary

Addresses

Primary practice location

420 Delaware St SE, MMC 480
Minneapolis, MN 55455

Mailing address

831 River Mews CT
Minneapolis, MN 55414-3636
Phone (608) 406-5800

Other practice location 1

4298 Atlanta Road NE
Smyrna, GA 30080
Phone (608) 406-5800

Other practice location 2

2601 Holme Ave
Philadelphia, PA 19152-2096
Phone (215) 335-6000

Other practice location 3

4298 W Atlanta Rd SE Ste 200
Smyrna, GA 30080-6530
Phone (404) 419-3080

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
I20250724002448 GA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 9335656461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4298 Atlanta Rd SE
Suite 200
Smyrna, GA 30080-6433
Phone (404) 419-3080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G LLC CurrentSince Aug 1, 2025 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology CurrentSince Aug 1, 2025 Accepting new patients
Northside Imaging LLC Past Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology Past Accepting new patients

Locations

4586 Timber Ridge Dr
Ste 200
Douglasville, GA 30135
Phone (770) 489-3513

4298 W Atlanta Rd SE
Ste 200
Smyrna, GA 30080
Phone (404) 419-3080

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

Interoperability endpoints

  • Direct secure messaging: madhuri.chengappamd.p1@direct.gacancer.nextgenshare.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 2

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1376034652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 RIVER MEWS CT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143636",
            "telephone_number": "608-406-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE, MMC 480",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-626-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4298 Atlanta Road NE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "30080",
            "country_code": "US",
            "telephone_number": "608-406-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522096",
            "country_code": "US",
            "telephone_number": "215-335-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4298 W Atlanta Rd SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806530",
            "country_code": "US",
            "telephone_number": "404-419-3080",
            "fax_number": "404-333-0227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENGAPPA",
        "first_name": "MADHURI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "104039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.