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

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: August 09, 2026.

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
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

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid845446471BGA

Accepted 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

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.

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

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
Quality100
Improvement Activities40

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.

Internal Medicine (Infectious Disease)
101 GREENFIELD DR STE 100
CUMMING, GA 30040
Nurse Practitioner (Family)
101 GREENFIELD DR STE 100
CUMMING, GA 30040
Internal Medicine (Infectious Disease)
101 GREENFIELD DR STE 100
CUMMING, GA 30040
Internal Medicine (Infectious Disease)
101 GREENFIELD DR STE 100
CUMMING, GA 30040

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.

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 1 other insurer 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.