NPIMap

Individual provider Active NPI

Srinivasa R Madala, MD

  • Internal Medicine Physician
  • Sun City, AZ
National Provider Identifier
1851324891
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35444 Issued in AZ
Practice address
14815 N del Webb Blvd
Sun City, AZ 85351
Phone
(623) 977-3300
Fax
(623) 977-6808
NPI assigned
Jul 9, 2006
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 35444 AZ Primary
Hospitalist Physician 208M00000X 35444 AZ

Addresses

Primary practice location

14815 N del Webb Blvd
Sun City, AZ 85351

Mailing address

14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 277-0759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060913000005 AZ Practitioner - Internal Medicine 4486540937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artisan Primary Care PLLCGroup PAC ID 2466700174, 2 clinicians

Practice addresses (Care Compare)

14815 N del Webb Blvd
Sun City, AZ 85351-2145
Phone (623) 977-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.5 of 100Reported as individual
Quality
83.58
Improvement activities
40
Cost
66.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35444AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artisan Primary Care, PLLC Internal Medicine CurrentSince Jun 26, 2018 Accepting new patients
Ludden Healthcare LLC Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

14815 N Del Webb Blvd
Sun City, AZ 85351
Phone (623) 745-6015

Organizations & group practices 3

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 10

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1851324891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853512145",
            "telephone_number": "623-277-0759",
            "fax_number": "623-200-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 N DEL WEBB BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "85351",
            "telephone_number": "623-977-3300",
            "fax_number": "623-977-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADALA",
        "first_name": "SRINIVASA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35444",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "35444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.