Individual provider Active NPI

Indira Madapati, M.D

  • Internal Medicine Physician
  • Manville, NJ
National Provider Identifier
1972646487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07427400 Issued in NJ
Practice address
204 S Main St
Manville, NJ 08835-1806
Phone
(908) 722-2992
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07427400 NJ Primary

Addresses

Primary practice location

204 S Main St
Manville, NJ 08835-1806

Mailing address

10 Mozart CT
East Windsor, NJ 08520-5117
Phone (908) 768-0757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20051004000682 NJ Practitioner - Internal Medicine 4880629203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medwell Internal Medicine LLCGroup PAC ID 4789715517, 2 clinicians

Practice addresses (Care Compare)

104 Hickory Corner Rd
Suite 201
East Windsor, NJ 08520-2460
Phone (609) 371-6100

1450 Parkside Ave
Suite 5
Ewing, NJ 08638-2949
Phone (609) 883-1700

897 Route 130
East Windsor, NJ 08520-2907
Phone (609) 883-1700

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07427400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medwell Internal Medicine LLC CurrentSince Jan 1, 2010 Accepting new patients
Capital Health System Inc Past Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation Past Accepting new patients
Dr Milia &Magdy Ghaly MD PA Internal Medicine Past Accepting new patients

Locations

104 Hickory Corner Rd
Ste 201
East Windsor, NJ 08520
Phone (609) 371-6100

897 US Highway 130
East Windsor, NJ 08520
Phone (609) 883-1700

1450 Parkside Ave
Ste 5
Ewing, NJ 08638
Phone (609) 771-1881

Organizations & group practices 4

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972646487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOZART CT",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205117",
            "telephone_number": "908-768-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S MAIN ST",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351806",
            "telephone_number": "908-722-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAPATI",
        "first_name": "INDIRA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07427400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manville, NJ

Sources for this page

Verify at the official NPI Registry.