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DR. NAGA SAI VENKATA HANUMANTHA RAO MADHAVAPEDDI M.D
NPI 1467815043
Family Medicine - Sports Medicine in Flower Mound, TX

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
3020 CORPORATE CT STE 400, FLOWER MOUND, TX 75028(817) 668-3222(817) 668-3200 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Jun 21, 2024, May 2, 2023 and 4 more (7 updates tracked since 2016).

About Dr. Naga Sai Venkata Hanumantha Rao Madhavapeddi M.d NPPES

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

DR. NAGA SAI VENKATA HANUMANTHA RAO MADHAVAPEDDI M.D (NPI 1467815043) is an individual sports medicine provider in Flower Mound, Texas, licensed in Texas (R4269) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2016).

NPPES Registry Identity

NPI1467815043
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. NAGA SAI VENKATA HANUMANTHA RAO MADHAVAPEDDICredential: M.D
Location Address3020 CORPORATE CT STE 400Flower Mound, TX 75028-5617
Mailing Address3020 Corporate Ct Ste 400Flower Mound, TX 75028-5617 · (817) 668-3222 · Fax (817) 668-3200
Phone(817) 668-3222
Fax(817) 668-3200
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateMarch 24, 20267 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1467815043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · R4269
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License R4269 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3020 CORPORATE CT STE 400, Flower Mound, TX 75028
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Secondary Practice Locations 2

Location 17101 Custer Rd Ste 600Frisco, TX 75035-7270 · Phone (817) 668-3222 · Fax (817) 668-3200
Location 21023 Lipscomb St Ste 200Fort Worth, TX 76104-3102 · Phone (817) 668-3222 · Fax (817) 668-3200

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. Naga Sai Venkata Hanumantha Rao Madhavapeddi 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 ID446508121
PECOS Enrollment IDI20191223001188
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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
126 services48 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.
97 services62 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
83 services43 patients
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.
43 services37 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.
27 services27 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75028 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.

Other Providers at the Same Location NPPES 2

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

STEP UP SPORTS MEDICINE PLLC
Family Medicine (Sports Medicine)
3020 CORPORATE CT STE 400
FLOWER MOUND, TX 75028
Denton County (817) 668-3222
BACK2LIFE PHYSICAL THERAPY AND WELLNESS
Physical Therapist
3020 CORPORATE CT STE 400
FLOWER MOUND, TX 75028
Denton County (847) 809-8183

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 Naga Sai Venkata Madhavapeddi's NPI number?

The NPI number for Naga Sai Venkata Madhavapeddi is 1467815043. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Naga Sai Venkata Madhavapeddi located?

Naga Sai Venkata Madhavapeddi practices at 3020 Corporate Ct Ste 400, Flower Mound, TX 75028. The listed phone number is (817) 668-3222.

What is Naga Sai Venkata Madhavapeddi's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Naga Sai Venkata Madhavapeddi enrolled in Medicare?

Yes. Naga Sai Venkata Madhavapeddi 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 Naga Sai Venkata Madhavapeddi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Naga Sai Venkata Madhavapeddi 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.

When was this NPI record last updated?

The NPPES record for Naga Sai Venkata Madhavapeddi was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.