Active NPI
Madhuri Chengappa, MD
- Hematology & Oncology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 104039
- Practice address
- 420 Delaware St SE, MMC 480
Minneapolis, MN 55455 - Phone
- (612) 626-0400
- NPI assigned
- May 23, 2018
- Last updated
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Hematology & Oncology | Current | 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
- 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.
-
- Hematology & Oncology Physician
- Sandy Springs, GA
- NPI 1144571381
-
- Durable Medical Equipment & Medical Supplies
- Blue Ridge, GA
- NPI 1629329792
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1316394976
-
- Hematology & Oncology Physician
- Atlanta, GA
- NPI 1124379284
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.