DURGA VENKATALAKSH MADALA M.D.
NPI 1184650772
Internal Medicine - Cardiovascular Disease in San Jose, CA

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
84.71/100
CMS Quality Rating
2516 SAMARITAN DR, SUITE A, SAN JOSE, CA 95124(408) 356-4242(408) 356-4455 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Durga Venkatalaksh Madala M.d. NPPES

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

DURGA VENKATALAKSH MADALA M.D. (NPI 1184650772) is an individual cardiovascular disease provider in San Jose, California, licensed in California (A56316) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1184650772
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDURGA VENKATALAKSH MADALACredential: M.D.
Location Address2516 SAMARITAN DR, SUITE ASan Jose, CA 95124-4108
Mailing Address2516 Samaritan Dr, Suite ASan Jose, CA 95124-4108 · (408) 356-4242 · Fax (408) 356-4455
Fax(408) 356-4455
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJune 24, 2006
Last NPPES UpdateMarch 21, 2013
NPI 1184650772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A56316
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2516 SAMARITAN DR, San Jose, CA 95124

Other Identifiers 1

Medicare UPINI01146CA

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

Durga Venkatalaksh Madala 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 ID8022002302
PECOS Enrollment IDI20040409000614
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 25

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.
3,220 services1,520 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.
1,766 services1,170 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.
1,297 services1,178 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
654 services649 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
540 services136 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
520 services156 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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.

84.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.66
Improvement Activities40
Cost54.83

Reported Quality Measures

Advance Care Plan
100%2,191 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
67%1,638 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%6,939 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%3,590 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 39% · 2,094 patients
Patients screened: 39% · 2,094 patients
100%23 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 1% · 2,094 patients
Patients screened: 1% · 2,094 patients
100%21 patients
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier33 claims33 services$14.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier33 claims33 services$62.28 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 20

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

Psychiatry & Neurology (Psychiatry)
2516 SAMARITAN DR, SUITE G
SAN JOSE, CA 95124
Internal Medicine (Cardiovascular Disease)
2516 SAMARITAN DR, SUITE A
SAN JOSE, CA 95124
Physical Therapist
2516 SAMARITAN DR, SUITE M
SAN JOSE, CA 95124
Psychologist (Clinical)
2516 SAMARITAN DR, SUITE G
SAN JOSE, CA 95124
Dentist (General Practice)
2516 SAMARITAN DR, SUITE I
SAN JOSE, CA 95124
Chiropractor
2516 SAMARITAN DR, SUITE J
SAN JOSE, CA 95124
Psychiatry & Neurology (Psychiatry)
2516 SAMARITAN DR, SUITE G
SAN JOSE, CA 95124
Internal Medicine (Cardiovascular Disease)
2516 SAMARITAN DR, SUITE H
SAN JOSE, CA 95124

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 Durga Madala's NPI number?

The NPI number for Durga Madala is 1184650772. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Durga Madala located?

Durga Madala practices at 2516 Samaritan Dr Suite A, San Jose, CA 95124. The listed phone number is (408) 356-4242.

What is Durga Madala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Durga Madala enrolled in Medicare?

Yes. Durga Madala 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.

When was this NPI record last updated?

The NPPES record for Durga Madala was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.