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DR. MADHAVI MADUGULA M.D.
NPI 1144266065
Family Medicine in Normal, IL

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
2200 FORT JESSE RD, SUITE 110, NORMAL, IL 61761(309) 661-6290(309) 451-1354 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2021, Nov 3, 2020 (2 updates tracked since 2020).

About Dr. Madhavi Madugula M.d. NPPES

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

DR. MADHAVI MADUGULA M.D. (NPI 1144266065) is an individual family medicine provider in Normal, Illinois, licensed in Michigan (4301085702) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1144266065
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MADHAVI MADUGULACredential: M.D.
Location Address2200 FORT JESSE RD, SUITE 110Normal, IL 61761-6286
Mailing Address4501 Sand Creek RdAntioch, CA 94531-8687 · (810) 964-3246
Phone(309) 661-6290
Fax(309) 451-1354
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 20, 2006
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
✔ NPI 1144266065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301085702
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2200 FORT JESSE RD, Normal, IL 61761
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Other Identifiers 5

OtherP00690231Rr Medicare Individual #
Medicaid4769673MI
OtherCA2264Rr Group #
Other833120IL · Medicare Group
Medicaid036121987IL

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

Dr. Madhavi Madugula 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 ID5193888253
PECOS Enrollment IDI20201106001503
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 Reassignment

Medicare enrollment records show Madhavi Madugula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
1,734 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

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.

ROBIN POSTON OT
Occupational Therapist
2200 FORT JESSE RD, SUITE 250
NORMAL, IL 61761
McLean County (309) 454-1616
MR. JASON N RICHARDS OT
Occupational Therapist
2200 FORT JESSE RD
NORMAL, IL 61761
McLean County (309) 888-9800
DR. DANIEL L HA M.D.
Radiology (Body Imaging)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. AJAY R MALPANI M.D.
Radiology (Nuclear Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. CARLOS P CAPATI M.D.
Radiology (Diagnostic Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. DAVID KOCH M.D.
Radiology (Body Imaging)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
MS. MALLORY R HIPPLER COUNSELOR
Counselor (Professional)
2200 FORT JESSE RD
NORMAL, IL 61761
McLean County (309) 661-6290
JESSICA JOHANN
Nurse Practitioner
2200 FORT JESSE RD, 110
NORMAL, IL 61761
McLean County (309) 661-6290

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 Madhavi Madugula's NPI number?

The NPI number for Madhavi Madugula is 1144266065. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Madhavi Madugula located?

Madhavi Madugula practices at 2200 Fort Jesse Rd Suite 110, Normal, IL 61761. The listed phone number is (309) 661-6290.

What is Madhavi Madugula's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madhavi Madugula enrolled in Medicare?

Yes. Madhavi Madugula 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 organization bills Medicare for Madhavi Madugula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhavi Madugula reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Madhavi Madugula'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 Madhavi Madugula was last updated on December 17, 2021. 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.