NPIMap

Individual provider Active NPI

Madhavi Gaddam, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Denton, TX
National Provider Identifier
1710198544
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
N3040 Issued in TX
Practice address
3300 Colorado Blvd
Denton, TX 76210
Phone
(940) 488-4767
Fax
(855) 444-9702
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD27194 OR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X N3040 TX Primary

Addresses

Primary practice location

3300 Colorado Blvd
Denton, TX 76210

Mailing address

2245 Brinker Rd
Denton, TX 76208-6175
Phone (940) 488-4767

Other identifiers 5

IdentifierTypeStateIssuer
205024703MedicaidTX
205024701MedicaidTX
P00691956OtherTXRAILROAD MEDICARE NUMBER
205024702MedicaidTX
P00838701OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090818000614 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 3375697865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision EndocrinologyGroup PAC ID 2668789454, 2 clinicians

Practice addresses (Care Compare)

3300 Colorado Blvd
Denton, TX 76210-6864
Phone (940) 488-4767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as individual
Quality
82.78
Improvement activities
40
Cost
71.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27194ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Endocrinology Endocrinology, Diabetes & Metabolism CurrentSince Jun 24, 2015 Accepting new patients

Locations

2245 Brinker Rd
Denton, TX 76208
Phone (855) 353-6262

3300 Colorado Blvd
Denton, TX 76210
Phone (817) 789-6770

Organizations & group practices 1

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 4

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1710198544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 BRINKER RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086175",
            "telephone_number": "940-488-4767",
            "fax_number": "877-795-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-488-4767",
            "fax_number": "855-444-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDAM",
        "first_name": "MADHAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD27194",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "N3040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205024703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205024701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00691956",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205024702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00838701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.