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DURGA MADDINENI MD
NPI 1548209943
Family Medicine in Sunnyside, NY

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
4543 43RD ST, SUNNYSIDE, NY 11104(718) 392-2220(718) 392-1777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Durga Maddineni Md NPPES

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

DURGA MADDINENI MD (NPI 1548209943) is an individual family medicine provider in Sunnyside, New York, licensed in New York (227095) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1548209943
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDURGA MADDINENICredential: MD
Location Address4543 43RD STSunnyside, NY 11104-2609
Mailing Address4543 43rd StSunnyside, NY 11104-2609 · (718) 392-2220 · Fax (718) 392-1777
Phone(718) 392-2220
Fax(718) 392-1777
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJune 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548209943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 227095
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4543 43RD ST, Sunnyside, NY 11104
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Other Identifiers 2

Medicare UPINI00502NY
Medicaid02462119NY

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

Durga Maddineni Md 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 ID3678565801
PECOS Enrollment IDI20040330001455
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 9

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 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.
322 services126 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
250 services162 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
189 services127 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.
168 services126 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
144 services141 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
126 services126 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11104 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims47 services$5.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

43RD ST FAMILY PRACTICE PLLC
Family Medicine
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (718) 392-2220
LOREDANA LADOGANA MD
Family Medicine
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (718) 392-2220
DR. PRAJOY KADKADE M.D.
Otolaryngology
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (516) 472-0088
DR. AZMAT IQBAL MD
Internal Medicine (Hematology & Oncology)
4543 43RD ST
SUNNYSIDE, NY 11104
Queens County (718) 392-2220

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 Durga Maddineni's NPI number?

The NPI number for Durga Maddineni is 1548209943. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Durga Maddineni located?

Durga Maddineni practices at 4543 43rd St, Sunnyside, NY 11104. The listed phone number is (718) 392-2220.

What is Durga Maddineni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Durga Maddineni enrolled in Medicare?

Yes. Durga Maddineni 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.

When was this NPI record last updated?

The NPPES record for Durga Maddineni was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.