MADHURI UPPALAPATI M.D.
NPI 1316470743
Family Medicine - Sleep Medicine in Woodridge, IL

Q: What is Madhuri Uppalapati's NPI number?

The NPI number for Madhuri Uppalapati is 1316470743. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Q: What is Madhuri Uppalapati's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment

55.42/100

CMS Quality Rating

7530 WOODWARD AVE STE A, WOODRIDGE, IL 60517(630) 484-5911 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Sep 17, 2024, Oct 26, 2022 (3 updates tracked since 2022).

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About Madhuri Uppalapati M.d. NPPES

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

MADHURI UPPALAPATI M.D. (NPI 1316470743) is an individual sleep medicine provider in Woodridge, Illinois, licensed in Illinois (036.158451) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316470743

Entity TypeIndividualFemale

Primary Taxonomy207QS1201X

Provider Legal NameMADHURI UPPALAPATICredential: M.D.

Location Address7530 WOODWARD AVE STE AWoodridge, IL 60517-3100

Mailing Address7530 Woodward Ave Ste AWoodridge, IL 60517-3100 · (630) 484-5911

Phone(630) 484-5911

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 4, 2017

Last NPPES UpdateMay 21, 20253 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1316470743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS1201X

Licenses✔ Licensed in IL · 036.158451✔ Licensed in MN · 77813

Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036158451 (IL)

7530 WOODWARD AVE STE A, Woodridge, IL 60517

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Secondary Practice Location 1

Location 14303 Highway 52 NRochester, MN 55901-4154 · Phone (507) 287-2714

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Madhuri Uppalapati 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 ID7618246786

PECOS Enrollment IDI20211217001789, I20251008002900

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 7

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.

60 services53 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.

26 services26 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

24 services23 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

19 services19 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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60517 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

55.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

20.58

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%77 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

28%2,076 patients1/55-star benchmark: 100%

e-Prescribing

96%70 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%1,072 patients4/55-star benchmark: 98%

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

Patients screened: 64% · 150 patients

64%150 patients

Provide Patients Electronic Access to Their Health Information

93%2,001 patients4/55-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 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604