DR. MANGADHARA RAO MADINEEDI MD, MSA, FACP
NPI 1376552901
Internal Medicine in Brockton, MA

Q: What is Mangadhara Madineedi's NPI number?

The NPI number for Mangadhara Madineedi is 1376552901. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Mangadhara Madineedi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 05, 2006PECOS Enrolled

940 BELMONT ST, GERIATRICS & EXTENDED CARE SERVICE LINE (181), BROCKTON, MA 02301(774) 826-1860(774) 826-2643 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jun 16, 2020, Aug 18, 2017 (3 updates tracked since 2017).

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About Dr. Mangadhara Rao Madineedi Md, Msa, Facp NPPES

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

DR. MANGADHARA RAO MADINEEDI MD, MSA, FACP (NPI 1376552901) is an individual internal medicine provider in Brockton, Massachusetts, licensed in Massachusetts (79686) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376552901

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MANGADHARA RAO MADINEEDICredential: MD, MSA, FACP

Location Address940 BELMONT ST, GERIATRICS & EXTENDED CARE SERVICE LINE (181)Brockton, MA 02301-5596

Mailing Address940 Belmont StBrockton, MA 02301-5596 · (508) 583-4500 · Fax (774) 826-3157

Phone(774) 826-1860

Fax(774) 826-2643

Sole ProprietorYes

Enumeration DateAugust 5, 2006

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

NPPES CertifiedJune 16, 2020

✔ NPI 1376552901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 79686

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 79686 (MA)

940 BELMONT ST, Brockton, MA 02301

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Other Identifiers 2

Medicaid3136809MA

OtherMM0137186ASMA · State Controlled Substanc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mangadhara Rao Madineedi Md, Msa, Facp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

ERIN ELIZABETH SULLIVAN

Social Worker (Clinical)