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KONDAL RAO MADARAM MD
NPI 1003952144
Psychiatry & Neurology - Psychiatry in Wilson, NC

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
1705 TARBORO ST SW, WILSON, NC 27893(252) 399-7057 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Apr 2, 2025, May 10, 2023 and 2 more (5 updates tracked since 2016).

About Kondal Rao Madaram Md NPPES

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

KONDAL RAO MADARAM MD (NPI 1003952144) is an individual psychiatry provider in Wilson, North Carolina, licensed in North Carolina (2015-01900) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1003952144
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKONDAL RAO MADARAMCredential: MD
Location Address1705 TARBORO ST SWWilson, NC 27893-3428
Mailing Address1709 Cooper Bluff PlCary, NC 27519-0123 · (919) 271-6784
Phone(252) 399-7057
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 29, 2007
Last NPPES UpdateApril 9, 20255 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1003952144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 2015-01900✔ Licensed in MT · 144502✔ Licensed in WA · MD60804825
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD434924 (PA), 2015-01900 (NC), 11373 (ND)
1705 TARBORO ST SW, Wilson, NC 27893
Open in Google Maps ↗

Secondary Practice Locations 9

Location 11000 S Columbia RdGrand Forks, ND 58201-4032 · Phone (701) 780-5000
Location 211405 Bob Findlay Rd ETacoma, WA 98445-3715 · Phone (602) 650-1212
Location 311361 N 99th Ave Ste 400&402Peoria, AZ 85345-5470 · Phone (602) 650-1212
Location 4800 S MeridianPuyallup, WA 98371-6995 · Phone (602) 650-1212
Location 514554 Lee RdChantilly, VA 20151-1775 · Phone (804) 215-3940
Location 61850 Copper Loop Ste BLas Cruces, NM 88005-8141 · Phone (575) 449-8159
Location 72150 Freeman Rd EFife, WA 98424-3776 · Phone (602) 650-1212
Location 82801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-8949
Location 9915 Highland BlvdBozeman, MT 59715-6902 · Phone (406) 414-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kondal Rao Madaram Md 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 ID4284826892
PECOS Enrollment IDI20160718001619, I20230725002722, I20250326004102
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.

Areas of Expertise CMS Part B claims 4

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.
195 services63 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

COASTAL PLAINS PATHOLOGY PA
Pathology (Anatomic Pathology & Clinical Pathology)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8703
SHANNON VASILINDA RDN, LDN
Dietitian, Registered
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8767
GAVIN SNYDER P.A.
Physician Assistant
1705 TARBORO ST SW, WILSON MEDICAL CENTER
WILSON, NC 27893
Wilson County (252) 399-8558
MRS. SHANNON BYRD JACKSON RD, LDN
Dietitian, Registered
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8768
MS. TRACY BOWMAN PA
Physician Assistant (Medical)
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8928
VAUGHN MITCHELL MATACALE M.D.
Specialist
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8040
RANJANI SUNIL
Physician Assistant
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8040
PATRICIA BECKHAM CRNA
Nurse Anesthetist, Certified Registered
1705 TARBORO ST SW
WILSON, NC 27893
Wilson County (252) 399-8040

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 Kondal Madaram's NPI number?

The NPI number for Kondal Madaram is 1003952144. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Kondal Madaram located?

Kondal Madaram practices at 1705 Tarboro St SW, Wilson, NC 27893. The listed phone number is (252) 399-7057.

What is Kondal Madaram's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kondal Madaram enrolled in Medicare?

Yes. Kondal Madaram 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.

What insurance does Kondal Madaram accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Mountain Health CO-OP and 3 other insurers list Kondal Madaram 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.

When was this NPI record last updated?

The NPPES record for Kondal Madaram was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.