Madhusudhana Kanagala, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

203587 Issued in NY

Practice address

4141 Carpenter Ave
Renal Unit
Bronx, NY 10466-2600

Phone

(718) 920-9041

Fax

(718) 920-9043

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chronic Disease Management of Georgia LLCGroup PAC ID 7618306721, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
• Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
• Visiting Nurse Health System, Inc Home health agency, Marietta, GA, CCN 117000
• Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
• Reliable Health & Rehab at Lakewood Nursing home, Atlanta, GA, CCN 115717

Merit-based Incentive Payment System (MIPS)

Final score

16.82 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

56.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: mk@ydrgn.directmedgenehr.com

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.

• Chronic Disease Management of Georgia, LLC

  • Physical Medicine & Rehabilitation Physician
  • Monroe, GA
  • NPI 1699300939
  Medicare reassignment Care Compare group NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  Geriatric Medicine

  NPD
• Transitional Care Physicians of Georgia PC

  • Specialist
  • Monroe, GA
  • NPI 1619317542
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Georgia, LLC

  • Home Health Agency
  • Douglasville, GA
  • NPI 1437117090
  Care Compare affiliation
• Guardian Home Care of Northeast Georgia, LLC

  • Home Health Agency
  • Buford, GA
  • NPI 1639100985
  Care Compare affiliation
• Guardian Home Care, LLC

  • Home Health Agency
  • Roswell, GA
  • NPI 1992736227
  Care Compare affiliation
• Reliable Health & Rehab at Lakewood, LLC

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1437260056

  Nursing home

  Care Compare affiliation
• Visiting Nurse Health System, Inc

  • Home Health Agency
  • Marietta, GA
  • NPI 1992766273
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1871689992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1239",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105839239",
            "telephone_number": "914-263-7562",
            "fax_number": "914-633-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 CARPENTER AVE",
            "address_2": "RENAL UNIT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662600",
            "telephone_number": "718-920-9041",
            "fax_number": "718-920-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAGALA",
        "first_name": "MADHUSUDHANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "203587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02567875",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "299AU1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Kamna, MS, LCAT, ATR-BC
• Kamran Yahodaei MDPC
• Andrew Tirdad Kamrouz, M.D., M.P.H.
• Ruth Kamtha, LCSW
• Arailym Kamzabek, MD
• Atara Kanarfogel
• Holly Elizabeth Kanavy, D.O.
• Prakash Surya Kancherla, MD
• Phyllis Kandell, C.A.S.A.C.
• Karunadevi Kandiah, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.

Verify at the official NPI Registry.