MADHU ACHALLA M.D.
NPI 1427357094
Emergency Medicine in El Paso, TX

Active since March 22, 2011PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1625 MEDICAL CENTER DR, EL PASO, TX 79902(915) 747-4000 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madhu Achalla M.d. NPPES

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

MADHU ACHALLA M.D. (NPI 1427357094) is an individual emergency medicine provider in El Paso, Texas, licensed in Texas (Q1549) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and is a graduate of State University Of New York Downstate Medical Center (2011).

NPPES Registry Identity

NPI1427357094
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMADHU ACHALLACredential: M.D.
Location Address1625 MEDICAL CENTER DREl Paso, TX 79902-5005
Mailing Address1625 Medical Center DrEl Paso, TX 79902-5005 · (915) 747-4000
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2011
Enumeration DateMarch 22, 2011
Last NPPES UpdateJanuary 31, 2017
NPI 1427357094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TX · Q1549 Licensed in NM · MD2014-0727
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1625 MEDICAL CENTER DR, El Paso, TX 79902

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

Madhu Achalla 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 ID9739401217
PECOS Enrollment IDI20141212000153
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
73 services71 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
48 services44 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79902 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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.

Nurse Practitioner (Acute Care)
1625 MEDICAL CENTER DR
EL PASO, TX 79902
Nurse Anesthetist, Certified Registered
1625 MEDICAL CENTER DR
EL PASO, TX 79902
Anesthesiologist Assistant
1625 MEDICAL CENTER DR
EL PASO, TX 79902
Nurse Practitioner (Family)
1625 MEDICAL CENTER DR
EL PASO, TX 79902
Nurse Practitioner (Acute Care)
1625 MEDICAL CENTER DR
EL PASO, TX 79902
Nurse Practitioner (Family)
1625 MEDICAL CENTER DR
EL PASO, TX 79902
Internal Medicine
1625 MEDICAL CENTER DR
EL PASO, TX 79902
Pathology (Anatomic Pathology & Clinical Pathology)
1625 MEDICAL CENTER DR
EL PASO, TX 79902

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 Madhu Achalla's NPI number?

The NPI number for Madhu Achalla is 1427357094. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Madhu Achalla located?

Madhu Achalla practices at 1625 Medical Center Dr, El Paso, TX 79902. The listed phone number is (915) 747-4000.

What is Madhu Achalla's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Madhu Achalla enrolled in Medicare?

Yes. Madhu Achalla 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 Madhu Achalla accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Madhu Achalla 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 Madhu Achalla affiliated with any hospitals?

According to CMS data, Madhu Achalla is affiliated with University Medical Center Of El Paso and Sierra Medical Center.

When was this NPI record last updated?

The NPPES record for Madhu Achalla was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.