1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Internal Medicine
  6. NPI Profile

DR. MACHAIAH M MADHRIRA MD
NPI 1043453293
Internal Medicine - Nephrology in Fort Worth, TX

Active since April 16, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 877-5858(817) 335-4418 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2022, Nov 26, 2019 (2 updates tracked since 2019).

About Dr. Machaiah M Madhrira Md NPPES

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

DR. MACHAIAH M MADHRIRA MD (NPI 1043453293) is an individual nephrology provider in Fort Worth, Texas, licensed in Texas (Q5219) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1043453293
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MACHAIAH M MADHRIRACredential: MD
Location Address1001 PENNSYLVANIA AVEFort Worth, TX 76104-2228
Mailing Address1000 W Cannon StFort Worth, TX 76104-3029 · (817) 877-5858 · Fax (817) 335-4418
Phone(817) 877-5858
Fax(817) 335-4418
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 16, 2009
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1043453293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in TX · Q5219✔ Licensed in AZ · 41806
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License Q5219 (TX)
1001 PENNSYLVANIA AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 2

Medicaid421797AZ
Medicaid350469801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Machaiah M Madhrira 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 ID1456401876
PECOS Enrollment IDI20150915000424
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
411 services90 patients
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.
409 services141 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
220 services95 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
124 services20 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.
79 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
76 services63 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450203
Location713 E Anderson StWeatherford, TX 76086 · Parker County
Emergency services Birthing friendly

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Texas Health Harris Methodist Hospital Alliance

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670085
Location10864 Texas Health TrailFort Worth, TX 76244 · Tarrant County
Emergency services Birthing friendly

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%207 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
62%39 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims68 services$6.59 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
16 suppliers455 claims353,330 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers86 claims14,310 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers281 claims78,600 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
19 suppliers554 claims92,126 services$0.97 avg. paid by Medicare
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant Q0510
Treatment-Chemotherapy · category RH012N
3 suppliers11 claims11 services$39.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

DR. AVINASH VALLURUPALLI DO
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
MEERA BHUPENDRAKUMAR PATEL PA
Physician Assistant
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
CHRYS A PASCHALL NP
Nurse Practitioner (Acute Care)
1001 PENNSYLVANIA AVE
FT WORTH, TX 76104
Tarrant County (817) 725-7900
DR. BALAMURUGAN PONNIAH SANKARAPANDIAN M.D.
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
MS. MELISSA DENNY
Physician Assistant
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
CHINNAPA R GADE NP
Nurse Practitioner
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
DR. SARAVANAN BALAMUTHUSAMY M.D.
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
DR. PETER BRIAN RAMIREZ MD
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858

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 Machaiah Madhrira's NPI number?

The NPI number for Machaiah Madhrira is 1043453293. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Machaiah Madhrira located?

Machaiah Madhrira practices at 1001 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 877-5858.

What is Machaiah Madhrira's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Machaiah Madhrira enrolled in Medicare?

Yes. Machaiah Madhrira 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 Machaiah Madhrira accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Machaiah Madhrira 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 Machaiah Madhrira affiliated with any hospitals?

According to CMS data, Machaiah Madhrira is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, Medical City Weatherford, Medical City Fort Worth, Texas Health Harris Methodist Hospital Alliance and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Machaiah Madhrira was last updated on September 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.