MADHAVI RAYAPUDI MD
NPI 1215971668
Internal Medicine - Infectious Disease in Cumming, GA

Q: What is Madhavi Rayapudi's NPI number?

The NPI number for Madhavi Rayapudi is 1215971668. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Madhavi Rayapudi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Madhavi Rayapudi was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

101 GREENFIELD DR STE 100, CUMMING, GA 30040(678) 786-1314 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Madhavi Rayapudi Md NPPES

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

MADHAVI RAYAPUDI MD (NPI 1215971668) is an individual infectious disease provider in Cumming, Georgia, licensed in Georgia (50861) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Suwanee.

NPPES Registry Identity

NPI1215971668

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameMADHAVI RAYAPUDICredential: MD

Location Address101 GREENFIELD DR STE 100Cumming, GA 30040-2727

Mailing AddressPo Box 3988Alpharetta, GA 30023-3988 · (678) 786-1314

Phone(678) 786-1314

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateJune 16, 2006

Last NPPES UpdateJuly 25, 2024

NPPES CertifiedJuly 25, 2024

✔ NPI 1215971668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in GA · 50861

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

101 GREENFIELD DR STE 100, Cumming, GA 30040

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Secondary Practice Location 1

Location 14255 Johns Creek Pkwy Ste ASuwanee, GA 30024-6122 · Phone (678) 786-1314

Other Identifiers 1

Medicaid845446471BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Madhavi Rayapudi 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 ID1557344363

PECOS Enrollment IDI20040614000011

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

Infectious Disease Professionals, LLC

Same address

Infectious Disease

101 GREENFIELD DR STE 100
Cumming, GA 30040

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1174613459 (678) 845-7300

Medcity, LLC

16 mi

Internal Medicine

4239 MUNDY MILL RD
Oakwood, GA 30566

Reassigned Medicare billing, Georgia enrollment

NPI 1841053204 (678) 517-5645

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 30

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.

Injection, daptomycin, 1 mg J0878

Daptomycin is an antibiotic injection used to treat severe bacterial infections. It works by stopping bacteria from growing and multiplying. The 1 mg dosage refers to the amount of daptomycin in each injection. It's administered by healthcare professionals.

1,913,751 services87 patients

Injection, omadacycline, 1 mg J0121

Omadacycline injection is an antibiotic used to treat bacterial infections. It works by stopping the growth of bacteria. The dosage is based on your medical condition and response to treatment. As it's an injection, it's administered into a vein or muscle by a healthcare professional.

71,000 services30 patients

Injection, micafungin sodium, 1 mg J2248

Micafungin sodium is an antifungal medication given through injection to prevent or treat fungal infections. It works by stopping the growth of fungus, helping your body to fight the infection effectively.

26,801 services12 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

15,881 services92 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.

9,436 services196 patients

Injection, meropenem, 100 mg J2185

Meropenem is an antibiotic injected into a vein to treat a wide variety of bacterial infections. This medication works by stopping the growth of bacteria. The 100 mg dosage refers to the strength of the medicine. It's typically administered by a healthcare professional.

5,311 services23 patients

Injection, ceftazidime, per 500 mg J0713

Ceftazidime is an antibiotic administered via injection to treat a wide range of bacterial infections. Each injection contains 500 mg of the medicine, which works by stopping the growth of bacteria. This helps your body to fight off the infection.

5,241 services27 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

5,054 services204 patients

Injection, dalbavancin, 5 mg J0875

Dalbavancin injection is an antibiotic used to treat severe skin infections caused by certain bacteria. The 5mg dosage is administered by healthcare professionals into a vein, usually once a week. It works by stopping the growth of bacteria.

4,300 services14 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.

3,066 services288 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.

2,029 services341 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less 96367

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

1,831 services78 patients

Injection, ertapenem sodium, 500 mg J1335

Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.

1,706 services46 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

978 services53 patients

Injection, vancomycin hcl, 500 mg J3370

Vancomycin HCL is an antibiotic used to treat severe infections caused by certain types of bacteria. The 500 mg dose is typically administered via injection by a healthcare professional to fight the infection effectively.

834 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

522 services156 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

289 services77 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

272 services216 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.

220 services56 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

190 services41 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.

104 services89 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.

101 services101 patients

Infusion, normal saline solution, sterile (500 ml = 1 unit) J7040

An infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.

63 services18 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

62 services27 patients

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573

This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.

56 services45 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

39 services11 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

35 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services21 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

25 services23 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.

24 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110230

Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%258 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

100%21 patients5/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

100%1,443 patients5/55-star benchmark: 100%

Falls: Plan of Care

100%82 patients

Falls: Screening for Future Fall Risk

99%347 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 234 patients

Patients screened: 98% · 234 patients

100%28 patients5/55-star benchmark: 100%

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 5

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier12 claims1,440 services$6.01 avg. paid by Medicare

Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg J1557

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims980 services$39.86 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims6,240 services$9.53 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

1 supplier13 claims156 services$2.38 avg. paid by Medicare

Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052

Treatment-Chemotherapy · category RH012N

1 supplier11 claims11 services$309.80 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 4

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

INFECTIOUS DISEASE PROFESSIONALS, LLC

Internal Medicine (Infectious Disease)

101 GREENFIELD DR STE 100
CUMMING, GA 30040

Forsyth County (678) 845-7300

KIMBERLY NEADOW NP

Nurse Practitioner (Family)

101 GREENFIELD DR STE 100
CUMMING, GA 30040

Forsyth County (678) 845-7300

DR. REVANTH SAI YENDAMURI MD

Internal Medicine (Infectious Disease)

101 GREENFIELD DR STE 100
CUMMING, GA 30040

Forsyth County (678) 845-7300

DR. KHALED A RIKABI MD

Internal Medicine (Infectious Disease)

101 GREENFIELD DR STE 100
CUMMING, GA 30040

Forsyth County (678) 845-7300

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 Rayapudi's NPI number?

The NPI number for Madhavi Rayapudi is 1215971668. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Madhavi Rayapudi located?

Madhavi Rayapudi practices at 101 Greenfield Dr Ste 100, Cumming, GA 30040. The listed phone number is (678) 786-1314.

What is Madhavi Rayapudi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Madhavi Rayapudi enrolled in Medicare?

Yes. Madhavi Rayapudi 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 Madhavi Rayapudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhavi Rayapudi reassigns Medicare benefits to 2 organizations: Infectious Disease Professionals, LLC (Cumming, GA) and Medcity, LLC (Oakwood, GA). 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 Madhavi Rayapudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhavi Rayapudi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Madhavi Rayapudi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madhavi Rayapudi affiliated with any hospitals?

According to CMS data, Madhavi Rayapudi is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Emory University Hospital Midtown, Northside Hospital and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Madhavi Rayapudi was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.