SATHYAKIRAN B MADOORI MD
NPI 1164716056
Family Medicine in South Elgin, IL

Q: What is Sathyakiran Madoori's NPI number?

The NPI number for Sathyakiran Madoori is 1164716056. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Q: What is Sathyakiran Madoori's specialty?

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

Active since June 08, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

486 RANDALL RD UNIT B, SOUTH ELGIN, IL 60177(224) 783-5000 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 22, 2020, Mar 2, 2016 (2 updates tracked since 2016).

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About Sathyakiran B Madoori Md NPPES

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

SATHYAKIRAN B MADOORI MD (NPI 1164716056) is an individual family medicine provider in South Elgin, Illinois, licensed in Illinois (036-136116) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains a secondary practice location in Midland.

NPPES Registry Identity

NPI1164716056

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSATHYAKIRAN B MADOORICredential: MD

Location Address486 RANDALL RD UNIT BSouth Elgin, IL 60177-3354

Mailing Address2618 W Sugnet RdMidland, MI 48640-2647

Phone(224) 783-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 8, 2011

Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2024

✔ NPI 1164716056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036-136116✔ Licensed in MI · 4301098766

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 4301098766 (MI), 036136116 (IL)

486 RANDALL RD UNIT B, South Elgin, IL 60177

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Secondary Practice Location 1

Location 14009 Orchard DrMidland, MI 48640-6122 · Phone (989) 839-3515

Other Identifiers 1

Other4301098766MI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Sathyakiran B Madoori 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 ID9133359276

PECOS Enrollment IDI20150227001554

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 7

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.

199 services192 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.

75 services75 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.

23 services23 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

22 services21 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.

19 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60177 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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

100

Improvement Activities

Cost

94.69

Other Providers at the Same Location NPPES 16

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

DR. STEPHEN HERRE ECHSNER JR. MD

Obstetrics & Gynecology