MADHU DUKKIPATI M.D.
NPI 1063436715
Internal Medicine - Interventional Cardiology in Macomb, IL

Q: What is Madhu Dukkipati's NPI number?

The NPI number for Madhu Dukkipati is 1063436715. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Madhu Dukkipati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Madhu Dukkipati was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 26, 2006PECOS Enrolled

100/100

CMS Quality Rating

505 E GRANT ST STE 110, MACOMB, IL 61455(217) 528-7541(217) 525-2535 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2025, Dec 22, 2021, Dec 6, 2019 and 2 more (5 updates tracked since 2018).

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About Madhu Dukkipati M.d. NPPES

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

MADHU DUKKIPATI M.D. (NPI 1063436715) is an individual interventional cardiology provider in Macomb, Illinois, licensed in Illinois (036-109161) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1063436715

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMADHU DUKKIPATICredential: M.D.

Location Address505 E GRANT ST STE 110Macomb, IL 61455-3308

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(217) 528-7541

Fax(217) 525-2535

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJuly 26, 2006

Last NPPES UpdateMarch 10, 20255 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1063436715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in IL · 036-109161

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036-109161 (IL)

505 E GRANT ST STE 110, Macomb, IL 61455

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Other Identifiers 3

OtherP00477441IL · Railroad

Other086380IL · Health Alliance

Medicaid036109161IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhu Dukkipati M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658398037

PECOS Enrollment IDI20051025000628

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

Medicare enrollment records show Madhu Dukkipati reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Schuyler County Hospital District

23 mi

Critical Access

238 S CONGRESS ST
Rushville, IL 62681

Reassigned Medicare billing, Illinois enrollment
111 clinicians in this Medicare group

NPI 1013969112 (217) 322-4321

Blessing Hospital

52 mi

Multi-Specialty

1005 BROADWAY ST
Quincy, IL 62301

Reassigned Medicare billing, Illinois enrollment
363 clinicians in this Medicare group

NPI 1114471737 (217) 223-8400

St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F

70 mi

General Acute Care Hospital

800 EAST CARPENTER
Springfield, IL 62769

Reassigned Medicare billing, Illinois enrollment
53 clinicians in this Medicare group

NPI 1184606923 (217) 544-6464

Springfield Clinic, LLP

70 mi

Multi-Specialty

1025 S 6TH ST
Springfield, IL 62703

Reassigned Medicare billing, Illinois enrollment
735 clinicians in this Medicare group

NPI 1780638478 (217) 528-7541

Thomas H. Boyd Memorial Hospital

80 mi

Critical Access

800 SCHOOL ST
Carrollton, IL 62016

Reassigned Medicare billing, Illinois enrollment
22 clinicians in this Medicare group

NPI 1811096811 (217) 942-6946

St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F

103 mi

Critical Access

1215 FRANCISCAN DR
Litchfield, IL 62056

Reassigned Medicare billing, Illinois enrollment
60 clinicians in this Medicare group

NPI 1326057076 (217) 324-8500

Sarah Bush Lincoln Health Center

132 mi

Skilled Nursing Facility

650 W TAYLOR ST
Vandalia, IL 62471

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1306959689 (618) 283-1232

St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third

145 mi

General Acute Care Hospital

503 N MAPLE ST
Effingham, IL 62401

Reassigned Medicare billing, Illinois enrollment
104 clinicians in this Medicare group

NPI 1306800602 (217) 347-1333

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 21

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

870 services658 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.

466 services431 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

243 services239 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

242 services238 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

154 services148 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

152 services152 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

113 services113 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.

81 services46 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

66 services66 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

63 services59 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

60 services60 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

59 services59 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.

56 services55 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

40 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

22 services22 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

20 services20 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

16 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services15 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number140089

Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County

Emergency services Birthing friendly

Thomas H Boyd Memorial Hospital

Critical Access Hospitals · Carrollton, IL

OwnershipGovernment - Local

CMS Certification Number141300

Location800 School StCarrollton, IL 62016 · Greene County

Emergency services

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141333

Location238 South Congress StreetRushville, IL 62681 · Schuyler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

KAYLA JEAN ANDERSON CPNP-PC

Nurse Practitioner (Family)