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PHILIP THOMAS MADAELIL M.D., F.A.C.C.
NPI 1487657722
Internal Medicine - Cardiovascular Disease in Clarksville, TN

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
111 CENTER POINTE DR STE 2, CLARKSVILLE, TN 37040(931) 919-2627(931) 919-2628 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 9, 2026, Aug 25, 2026, Oct 5, 2022 and 1 more (4 updates tracked since 2020).

About Philip Thomas Madaelil M.d., F.a.c.c. NPPES

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

PHILIP THOMAS MADAELIL M.D., F.A.C.C. (NPI 1487657722) is an individual cardiovascular disease provider in Clarksville, Tennessee, licensed in Tennessee (30683) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1487657722
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePHILIP THOMAS MADAELILCredential: M.D., F.A.C.C.
Location Address111 CENTER POINTE DR STE 2Clarksville, TN 37040-8684
Mailing Address111 Center Pointe Dr Ste 2Clarksville, TN 37040-8684 · (931) 919-2627 · Fax (931) 919-2628
Phone(931) 919-2627
Fax(931) 919-2628
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMay 31, 2005
Last NPPES UpdateSeptember 9, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1487657722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TN · 30683
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
111 CENTER POINTE DR STE 2, Clarksville, TN 37040
Open in Google Maps ↗

Other Identifiers 3

Medicaid3827110TN
OtherP00989636TN · Rr Medicare
Other6011923TN · Blue Cross-blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip Thomas Madaelil M.d., F.a.c.c. 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 ID4284796657
PECOS Enrollment IDI20101007000749
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Philip Madaelil reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clarksville Cardiology PLLC
Same address
Cardiovascular Disease
111 CENTER POINTE DR STE 2
Clarksville, TN 37040
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1699356816 (931) 217-6648
Advanced Diagnostic Imaging, PC
38 mi
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 734 clinicians in this Medicare group
NPI 1093741464 (615) 239-2061
Saint Thomas Medical Partners
40 mi
Radiology, Mobile Mammography
102 WOODMONT BLVD, SUITE 800
Nashville, TN 37205
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1881981033 (615) 284-6698

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
202 services129 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
171 services166 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
70 services70 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
62 services61 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services39 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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

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

CLARKSVILLE CARDIOLOGY PLLC
Internal Medicine (Cardiovascular Disease)
111 CENTER POINTE DR STE 2
CLARKSVILLE, TN 37040
Montgomery County (931) 217-6648

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 Philip Madaelil's NPI number?

The NPI number for Philip Madaelil is 1487657722. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Philip Madaelil located?

Philip Madaelil practices at 111 Center Pointe Dr Ste 2, Clarksville, TN 37040. The listed phone number is (931) 919-2627.

What is Philip Madaelil's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Philip Madaelil enrolled in Medicare?

Yes. Philip Madaelil 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.

Which organizations bill Medicare for Philip Madaelil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Madaelil reassigns Medicare benefits to 3 organizations: Clarksville Cardiology PLLC (Clarksville, TN), Advanced Diagnostic Imaging, PC (Goodlettsville, TN) and Saint Thomas Medical Partners (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Madaelil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Madaelil accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Philip Madaelil 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 Philip Madaelil affiliated with any hospitals?

According to CMS data, Philip Madaelil is affiliated with Jennie Stuart Medical Center, Tennova Healthcare-Clarksville and Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Madaelil was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.