Individual provider Active NPI

Madhavi Chada, M. D

  • Pain Medicine (Anesthesiology) Physician
  • Glenn Dale, MD
National Provider Identifier
1922212166
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D76707 Issued in MD
Practice address
12150 Annapolis Rd Ste 209
Glenn Dale, MD 20769-9183
Phone
(240) 929-6652
Fax
(240) 929-6710
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08999000 NJ
Internal Medicine Physician 207R00000X 243748 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X D76707 MD Primary

Addresses

Primary practice location

12150 Annapolis Rd Ste 209
Glenn Dale, MD 20769-9183

Mailing address

12150 Annapolis Rd Ste 209
Glenn Dale, MD 20769-9183
Phone (240) 929-6652

Other names 1

  • Madhavi Yerramilli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131107000051 MD Practitioner - AnesthesiologyPractitioner - Pain Management 1759556368 Reassigns benefits to 2 organizations
I20180316000751 DC Practitioner - Pain ManagementPractitioner - Anesthesiology 1759556368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy Spine and Pain Center LLCGroup PAC ID 5890057590, 4 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

12150 Annapolis Rd
Suite 209
Glenn Dale, MD 20769-9183
Phone (413) 798-0399

6410 Rockledge Dr
Bethesda, MD 20817-1844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243748NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jul 5, 2017 Accepting new patients
Privia Medical Group, LLC Internal Medicine Current Accepting new patients
Synergy Spine and Pain Center, LLC Pain Medicine CurrentSince Feb 9, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 5, 2017 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Jan 28, 2019 Accepting new patients
Synergy Surgery Center, LLC Pain Medicine CurrentSince May 1, 2018 Accepting new patients
Synergy Spine and Pain Center, LLC Pain Medicine CurrentSince Apr 11, 2016 Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

196 Thomas Johnson Dr
Ste 215
Frederick, MD 21702
Phone (301) 668-9988

45 Thomas Johnson Dr
Ste 207
Frederick, MD 21702
Phone (301) 694-3400

11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250

10905 Fort Washington Rd
Ste 305
Ft Washington, MD 20744
Phone (240) 929-6652

10709 Indian Head Hwy
Ste D
Ft Washington, MD 20744
Phone (240) 493-9650

12150 Annapolis Rd
Ste 209
Glenn Dale, MD 20769
Phone (240) 929-6652

12200 Annapolis Rd
Ste 220
Glenn Dale, MD 20769
Phone (301) 699-2296

9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

11233 Lockwood Dr
Unit 6G
Silver Spring, MD 20901
Phone (240) 929-6652

3581 Old Washington Rd
Ste F
Waldorf, MD 20602
Phone (301) 638-4400

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: madhavi.chada@3250.securemail.prognocis.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1922212166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 209",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "240-929-6652",
            "fax_number": "240-929-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD STE 209",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "240-929-6652",
            "fax_number": "240-929-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADA",
        "first_name": "MADHAVI",
        "name_prefix": "Dr.",
        "credential": "M. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08999000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243748",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D76707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHAVI",
            "last_name": "YERRAMILLI",
            "credential": "M. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.