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DR. NEELIMA MADDUKURI M.D
NPI 1366549735
Internal Medicine - Hematology & Oncology in Decatur, TX

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
2010 BEN MERRITT DR, SUITE A, DECATUR, TX 76234(940) 626-2300(940) 626-2315 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Neelima Maddukuri M.d NPPES

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

DR. NEELIMA MADDUKURI M.D (NPI 1366549735) is an individual hematology & oncology provider in Decatur, Texas, licensed in Texas (M9471) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Faith Community Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1366549735
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. NEELIMA MADDUKURICredential: M.D
Location Address2010 BEN MERRITT DR, SUITE ADecatur, TX 76234-3854
Mailing AddressPo Box 2078Decatur, TX 76234-6156 · (940) 626-2300 · Fax (940) 626-2315
Phone(940) 626-2300
Fax(940) 626-2315
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 30, 2019
✔ NPI 1366549735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · M9471
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

2010 BEN MERRITT DR, Decatur, TX 76234
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Other Identifiers 2

Medicaid208940103TX
Other8CU842TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Neelima Maddukuri 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 ID4880752971
PECOS Enrollment IDI20081017000514
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 6

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.
384 services220 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.
117 services54 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.
83 services70 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.
60 services60 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.
21 services21 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.
17 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Faith Community Hospital

Acute Care Hospitals · Jacksboro, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450241
Location215 Chisholm TrailJacksboro, TX 76458 · Jack County
Emergency services

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Nocona General Hospital

Acute Care Hospitals · Nocona, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450641
Location100 Park RoadNocona, TX 76255 · Montague County
Emergency services

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers19 claims1,400 services$0.61 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$12.62 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 5

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

DALLAS ONCOLOGY CONSULTANTS PA
Internal Medicine (Hematology & Oncology)
2010 BEN MERRITT DR, SUITE A
DECATUR, TX 76234
Wise County (940) 626-2300
LINDA MARIE SCHAEFER PA
Physician Assistant
2010 BEN MERRITT DR
DECATUR, TX 76234
Wise County (940) 626-2300
DEENA DWYER BSRT(T)
Radiology (Radiation Oncology)
2010 BEN MERRITT DR
DECATUR, TX 76234
Wise County (940) 626-2300
CHANIN OWEN FNP
Nurse Practitioner (Family)
2010 BEN MERRITT DR, SUITE A
DECATUR, TX 76234
Wise County (940) 626-2300
RUSSELL DOUBRAVA DO PA
Urology
2010 BEN MERRITT DR, STE B
DECATUR, TX 76234
Wise County (940) 627-0088

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 Neelima Maddukuri's NPI number?

The NPI number for Neelima Maddukuri is 1366549735. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Neelima Maddukuri located?

Neelima Maddukuri practices at 2010 Ben Merritt Dr Suite A, Decatur, TX 76234. The listed phone number is (940) 626-2300.

What is Neelima Maddukuri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Neelima Maddukuri enrolled in Medicare?

Yes. Neelima Maddukuri 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 Neelima Maddukuri accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Neelima Maddukuri 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 Neelima Maddukuri affiliated with any hospitals?

According to CMS data, Neelima Maddukuri is affiliated with Faith Community Hospital, Medical City Denton, Nocona General Hospital and Texas Health Presbyterian Hospital Denton.

When was this NPI record last updated?

The NPPES record for Neelima Maddukuri was last updated on April 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.