MADAIAH LOKESHWARI M.D.
NPI 1003091935
Hospitalist in Worcester, MA

Active since January 09, 2008PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST, WORCESTER, MA 01608(508) 363-6849 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Madaiah Lokeshwari M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADAIAH LOKESHWARI M.D. (NPI 1003091935) is an individual hospitalist provider in Worcester, Massachusetts, licensed in Massachusetts (234701) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and maintains a secondary practice location in Gardner.

NPPES Registry Identity

NPI1003091935
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMADAIAH LOKESHWARICredential: M.D.
Location Address123 SUMMER STWorcester, MA 01608-1216
Mailing Address123 Summer StWorcester, MA 01608-1216 · (508) 363-6849
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 9, 2008
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1003091935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 234701
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 234701 (MA)
123 SUMMER ST, Worcester, MA 01608

Secondary Practice Location 1

Location 1242 Green St, Heywood HospitalGardner, MA 01440-1336 · Phone (978) 632-3420

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madaiah Lokeshwari M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446310064
PECOS Enrollment IDI20081126000434
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Madaiah Lokeshwari reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
123 SUMMER ST STE 279
Worcester, MA 01608
  • Reassigned Medicare billing, Massachusetts enrollment
  • 197 clinicians in this Medicare group
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Hospitalist
115 LINCOLN ST
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 156 clinicians in this Medicare group
Internal Medicine
150 YORK ST
Stoughton, MA 02072
  • Reassigned Medicare billing, Massachusetts enrollment
  • 337 clinicians in this Medicare group
Hospitalist
4401 UNION ST
Johnstown, CO 80534
  • Reassigned Medicare billing, Massachusetts enrollment
  • 53 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608
Midwife
123 SUMMER ST
WORCESTER, MA 01608
Surgery (Vascular Surgery)
123 SUMMER ST
WORCESTER, MA 01608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madaiah Lokeshwari's NPI number?

The NPI number for Madaiah Lokeshwari is 1003091935. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Madaiah Lokeshwari located?

Madaiah Lokeshwari practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-6849.

What is Madaiah Lokeshwari's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Madaiah Lokeshwari enrolled in Medicare?

Yes. Madaiah Lokeshwari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Madaiah Lokeshwari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madaiah Lokeshwari reassigns Medicare benefits to 5 organizations: Saint Vincent Physician Services, Inc. (Worcester, MA), Umass Memorial Medical Group Inc (Worcester, MA), Hospitalist Physicians Of Massachusetts PC (Framingham, MA), Sound Physicians Of Massachusetts, Inc (Stoughton, MA) and Vibra Physicians LLC (Johnstown, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madaiah Lokeshwari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madaiah Lokeshwari accept?

Health plans from Taro Health list Madaiah Lokeshwari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madaiah Lokeshwari affiliated with any hospitals?

According to CMS data, Madaiah Lokeshwari is affiliated with Umass Memorial Health - Harrington Hospital and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Madaiah Lokeshwari was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.