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KAMEL MADARATY MD
NPI 1407925472
Internal Medicine - Pulmonary Disease in Bartlett, TN

Active since November 06, 2006PECOS Enrolled
81.68/100
CMS Quality Rating
2986 KATE BOND RD STE 209, BARTLETT, TN 38133(314) 504-7819 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Mar 28, 2018 (2 updates tracked since 2018).

About Kamel Madaraty Md NPPES

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

KAMEL MADARATY MD (NPI 1407925472) is an individual pulmonary disease provider in Bartlett, Tennessee, licensed in Tennessee (51593) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with White Rock Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407925472
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKAMEL MADARATYCredential: MD
Location Address2986 KATE BOND RD STE 209Bartlett, TN 38133-4003
Mailing AddressPo Box 217Cordova, TN 38088-0217 · (314) 504-7819
Phone(314) 504-7819
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 6, 2006
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1407925472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TN · 51593
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 51593 (TN)
2986 KATE BOND RD STE 209, Bartlett, TN 38133
Open in Google Maps ↗

Secondary Practice Locations 3

Location 176 Capital Way Ste BAtoka, TN 38004-6866 · Phone (901) 840-4446
Location 25651 Frist Blvd Ste 309Hermitage, TN 37076-2057 · Phone (615) 250-6900 · Fax (615) 250-6904
Location 33443 Dickerson Pike Ste 680Nashville, TN 37207-2537 · Phone (615) 865-3322 · Fax (615) 467-6692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare 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 (PECOS)

Kamel Madaraty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648364810
PECOS Enrollment IDI20250827003564
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
273 services142 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
260 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services64 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services43 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
30 services25 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
28 services20 patients

Hospital Affiliations CMS Care Compare 2

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

White Rock Medical Center

Acute Care Hospitals · Dallas, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450678
Location9440 Poppy DriveDallas, TX 75218 · Dallas County
Emergency services

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number670060
Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38133 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

81.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.2
Promoting Interoperability97
Improvement Activities40
Cost48.94

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.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers22 claims45 services$1.50 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
3 suppliers17 claims18 services$1.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers120 claims126 services$15.65 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims16 services$44.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers48 claims50 services$5.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
9 suppliers321 claims328 services$76.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kamel Madaraty's NPI number?

The NPI number for Kamel Madaraty is 1407925472. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Kamel Madaraty located?

Kamel Madaraty practices at 2986 Kate Bond Rd Ste 209, Bartlett, TN 38133. The listed phone number is (314) 504-7819.

What is Kamel Madaraty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kamel Madaraty enrolled in Medicare?

Yes. Kamel Madaraty is registered in the Medicare PECOS enrollment system.

What insurance does Kamel Madaraty accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Kamel Madaraty 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 Kamel Madaraty affiliated with any hospitals?

According to CMS data, Kamel Madaraty is affiliated with White Rock Medical Center and Baylor Scott And White Medical Center Sunnyvale.

When was this NPI record last updated?

The NPPES record for Kamel Madaraty was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.