MOHAN C MADALA MD
NPI 1295949030
Internal Medicine - Cardiovascular Disease in Okemos, MI

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
2134 HAMPTON PL, OKEMOS, MI 48864(517) 347-3000(517) 347-8393 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mohan C Madala Md NPPES

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

MOHAN C MADALA MD (NPI 1295949030) is an individual cardiovascular disease provider in Okemos, Michigan, licensed in Michigan (4301077662) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Michigan State University College Of Human Medicine (2001).

NPPES Registry Identity

NPI1295949030
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMOHAN C MADALACredential: MD
Location Address2134 HAMPTON PLOkemos, MI 48864-3691
Mailing Address2134 Hampton PlOkemos, MI 48864-3691 · (517) 347-3000 · Fax (517) 347-8393
Fax(517) 347-8393
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2001
Enumeration DateMay 10, 2007
Last NPPES UpdateJune 13, 2011
NPI 1295949030 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 MI · 4301077662
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.
2134 HAMPTON PL, Okemos, MI 48864

Other Identifiers 2

Medicaid1295949030MI
Medicare PIN0P27070015MI

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

Mohan C Madala 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 ID1254391493
PECOS Enrollment IDI20041013000232
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 26

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.

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.
226 services222 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.
218 services167 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
198 services187 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.
167 services76 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.
122 services107 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
83 services83 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Eaton Rapids Medical Center

Critical Access Hospitals · Eaton Rapids, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231324
Location1500 S Main StreetEaton Rapids, MI 48827 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48864 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Cardiovascular Disease)
2134 HAMPTON PL
OKEMOS, MI 48864
Internal Medicine (Cardiovascular Disease)
2134 HAMPTON PL
OKEMOS, MI 48864
Nurse Practitioner (Family)
2134 HAMPTON PL
OKEMOS, MI 48864
Internal Medicine (Cardiovascular Disease)
2134 HAMPTON PL
OKEMOS, MI 48864
Internal Medicine (Cardiovascular Disease)
2134 HAMPTON PL
OKEMOS, MI 48864
Internal Medicine (Cardiovascular Disease)
2134 HAMPTON PL
OKEMOS, MI 48864
Nurse Practitioner
2134 HAMPTON PL
OKEMOS, MI 48864
General Practice
2134 HAMPTON PL
OKEMOS, MI 48864

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 Mohan Madala's NPI number?

The NPI number for Mohan Madala is 1295949030. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Mohan Madala located?

Mohan Madala practices at 2134 Hampton Pl, Okemos, MI 48864. The listed phone number is (517) 347-3000.

What is Mohan Madala's specialty?

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

Is Mohan Madala enrolled in Medicare?

Yes. Mohan 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.

What insurance does Mohan Madala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mohan Madala 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 Mohan Madala affiliated with any hospitals?

According to CMS data, Mohan Madala is affiliated with Mclaren Greater Lansing, Edward W Sparrow Hospital and Eaton Rapids Medical Center.

When was this NPI record last updated?

The NPPES record for Mohan Madala was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.