Madana Mohana Reddy Vallem, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · South Hill, VA
NPI 1487898995 · NPPES record last updated Jan 11, 2020
Key facts
- NPI
- 1487898995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 0101259209 (VA)
- Practice address
- 1755 N Mecklenburg Ave
South Hill, VA 23970-4080 - Phone
- (434) 584-5502
- Fax
- (434) 584-5509
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCV Associated Physicians
Practice addresses (Care Compare)
417 N 11TH St
Richmond, VA 23298-5024
Phone (804) 828-9000
Hospital & facility affiliations
- Amedisys Home Health
- 1St Care Home Health South Boston
- Southern Virginia Regional Home Health
- Community Memorial Hospital
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.74 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 11 |
| Knee replacement | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111101000168 | NY | Practitioner - Orthopedic Surgery | 4688847015 | Reassigns benefits to 1 organization |
| I20200116001586 | VA | Practitioner - Orthopedic Surgery | 4688847015 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263173 | NY | MD | Orthopaedic Surgery Physician |
| 0101259209 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients | |
| MCV Associated Physicians | Orthopaedic Surgery | Current |
Accepting new patients |
| CMH Physician Services, LLC | Current |
Accepting new patients | |
| CMH Physician Services, LLC | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
1903 Sunset Ave
Utica, NY 13502
Phone (315) 624-8150
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
417 N 11th St
Richmond, VA 23298
Phone (804) 828-0733
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 263173 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 0101259209 | VA | Yes |
Addresses
Primary practice location
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Mailing address
PO Box 623
South Hill, VA 23970-0623
Phone (434) 584-5502
Other practice location 1
1903 Sunset Ave
Utica, NY 13502-5617
Phone (315) 797-1212
Other providers in South Hill, VA
- Michael John Tozzi
- Tri County Gastroenterology PC
- Brittney Tripp
- Patrick Ufkes
- Jessica Anne Upton
- Vaughan Medical Transport LLC
- Virginia CVS Pharmacy LLC
- Virginia Urology Center P C
- Vitacollect LLC
- W F & G, Inc
All providers in South Hill, VA · Orthopaedic Surgery Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.