Individual provider Active NPI

Madhuri Kadiyala, MD

  • Specialist
  • Gilbert, AZ
National Provider Identifier
1467426320
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29451 Issued in AZ
Practice address
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone
(480) 256-6444
Fax
(480) 256-3682
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 29451 AZ Primary

Addresses

Primary practice location

2946 E Banner Gateway Dr
Gilbert, AZ 85234

Mailing address

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-6444

Other identifiers 1

IdentifierTypeStateIssuer
577588MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140325000526 NM Practitioner - Medical Oncology 5991781999 Reassigns benefits to 1 organization
I20140709001521 AZ Practitioner - Hematology/Oncology 5991781999 Reassigns benefits to 2 organizations
I20260416002649 CO Practitioner - Hematology/Oncology 5991781999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Rutgers New Jersey Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Cancer Center Specialists LLCGroup PAC ID 6103097779, 343 clinicians
Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

1405 S Alma School Rd
Chandler, AZ 85286-7144
Phone (480) 256-7000

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 524-4000

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Hospital & facility affiliations

  • Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29451AZMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince Feb 1, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Oct 15, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2014 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Oct 15, 2022 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Otero County Hospital Association CurrentSince Feb 1, 2025 Accepting new patients
District Medical Group, Inc Internal Medicine Past Accepting new patients
East Valley Hematologists and Oncologists Hematology & Oncology PastSince Nov 7, 2002 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

13041 N Del Webb Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 832-0300

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

14416 W Meeker Blvd
Ste 301
Sun City West, AZ 85375
Phone (623) 876-3800

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2559 Medical Dr
Ste G
Alamogordo, NM 88310
Phone (505) 437-8126

Interoperability endpoints

  • Direct secure messaging: mkadiyala81740@direct.valleywisehealth.org

Organizations & group practices 10

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 5

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1467426320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIYALA",
        "first_name": "MADHURI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "29451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "577588",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.