MADHURADHAR CHEGONDI MD
NPI 1104173103
Pediatrics - Pediatric Critical Care Medicine in Iowa City, IA

Q: What is Madhuradhar Chegondi's NPI number?

The NPI number for Madhuradhar Chegondi is 1104173103. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Q: What is Madhuradhar Chegondi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since August 08, 2012PECOS EnrolledAccepts Medicare Assignment

200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1615(319) 356-8443 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Madhuradhar Chegondi Md NPPES

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

MADHURADHAR CHEGONDI MD (NPI 1104173103) is an individual pediatric critical care medicine provider in Iowa City, Iowa, licensed in Iowa (MD-45420) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104173103

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMADHURADHAR CHEGONDICredential: MD

Location Address200 HAWKINS DRIowa City, IA 52242

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-1615 · Fax (319) 356-8443

Phone(319) 356-1615

Fax(319) 356-8443

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 8, 2012

Last NPPES UpdateSeptember 24, 2018

✔ NPI 1104173103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in IA · MD-45420✔ Licensed in FL · ME113571

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License MD-45420 (IA)

200 HAWKINS DR, Iowa City, IA 52242

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Secondary Practice Location 1

Location 113535 Nemours PkwyOrlando, FL 32827-7402 · Phone (407) 567-4000 · Fax (407) 567-5924

Other Identifiers 1

Medicaid014922200FL

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

Madhuradhar Chegondi 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 ID8123308285

PECOS Enrollment IDI20240315002702

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 Madhuradhar Chegondi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois

113 mi

Family Medicine

405 CHARLES ST
Mt Morris, IL 61054

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1033157755 (815) 734-6061

Osf Multi-Specialty Group

115 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1154908929 (309) 683-5050

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

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.

SANGIL LEE M.D.

Emergency Medicine

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2233

RAMI G. EL ABIAD M.D.

Internal Medicine (Gastroenterology)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-4901

GRERK SUTAMTEWAGUL MD

Internal Medicine (Hematology & Oncology)

200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-1616

DR. KALEB TANNER VEIT D.O.

Internal Medicine (Critical Care Medicine)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2320

OMAR JABER M.D

Chronic Disease Hospital

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 471-8958

JENNIFER MANCUSO MS, CGC

Genetic Counselor, MS

200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242

Johnson County (319) 384-7983

ASHLEY KAISER M.D.

Obstetrics & Gynecology

200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242

Johnson County (319) 356-2294

MRS. NANCY JANE MILLICE

Health Educator

200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Johnson County (319) 356-3825

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 Madhuradhar Chegondi's NPI number?

The NPI number for Madhuradhar Chegondi is 1104173103. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Madhuradhar Chegondi located?

Madhuradhar Chegondi practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1615.

What is Madhuradhar Chegondi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Madhuradhar Chegondi enrolled in Medicare?

Yes. Madhuradhar Chegondi 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 Madhuradhar Chegondi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhuradhar Chegondi reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Mt Morris, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Madhuradhar Chegondi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madhuradhar Chegondi was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.