MAMATHA GADDAM MD
NPI 1306220736
Internal Medicine - Hematology in Rochester, MN

Active since July 15, 2015PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, May 4, 2022, Jun 23, 2021 (3 updates tracked since 2021).

About Mamatha Gaddam Md NPPES

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

MAMATHA GADDAM MD (NPI 1306220736) is an individual hematology provider in Rochester, Minnesota, licensed in Minnesota (68987) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306220736
Entity TypeIndividualFemale
Primary Taxonomy207RH0000X
Provider Legal NameMAMATHA GADDAMCredential: MD
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 15, 2015
Last NPPES UpdateJanuary 11, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1306220736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in MN · 68987
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 68987 (MN), E-14876 (AR)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 68987 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT209869 (PA)
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Locations 2

Location 1320 E North Ave, Allegheny General Hospital, Suite 185Pittsburgh, PA 15212-4756 · Phone (702) 858-4704
Location 24301 W Markham St # 508Little Rock, AR 72205-7101 · Phone (501) 686-8250 · Fax (501) 868-8543

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

Mamatha Gaddam 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 ID5294022489
PECOS Enrollment IDI20230125002927
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 2

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 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.
50 services18 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.
39 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Mamatha Gaddam's NPI number?

The NPI number for Mamatha Gaddam is 1306220736. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Mamatha Gaddam located?

Mamatha Gaddam practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Mamatha Gaddam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Mamatha Gaddam enrolled in Medicare?

Yes. Mamatha Gaddam 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 Mamatha Gaddam accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Mamatha Gaddam 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.

When was this NPI record last updated?

The NPPES record for Mamatha Gaddam was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.