DR. MADHAVI MEDIPALLY MD
NPI 1568724813
Family Medicine in Shrewsbury, MA
About Dr. Madhavi Medipally Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MADHAVI MEDIPALLY MD (NPI 1568724813) is an individual family medicine provider in Shrewsbury, Massachusetts, licensed in Massachusetts (263259) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Dr. Madhavi Medipally 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.
Medicare Billing Reassignments
2Medicare enrollment records show Madhavi Medipally reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Leominster, MA 01453
- Reassigned Medicare billing, Massachusetts enrollment
- 124 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Madhavi Medipally's NPI number?
The NPI number for Madhavi Medipally is 1568724813. It was assigned to this individual provider in the NPPES registry on June 12, 2012.
Where is Madhavi Medipally located?
Madhavi Medipally practices at 604 Main St, Shrewsbury, MA 01545. The listed phone number is (508) 842-6502.
What is Madhavi Medipally's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Madhavi Medipally enrolled in Medicare?
Yes. Madhavi Medipally 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 Madhavi Medipally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madhavi Medipally reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Community Health Connections, Inc. (Leominster, MA). 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 Madhavi Medipally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madhavi Medipally accept?
Health plans from Anthem Blue Cross and Blue Shield list Madhavi Medipally 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 Madhavi Medipally affiliated with any hospitals?
According to CMS data, Madhavi Medipally is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Madhavi Medipally was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Madhavi Medipally, MD · NPI 1568724813
Family Medicine physician in Shrewsbury, Massachusetts. Individual provider, active in the CMS NPPES registry since June 12, 2012.
## Identity
- **NPI:** 1568724813 (Entity type: Individual)
- **Enumerated:** June 12, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 263259 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 604 MAIN ST, Shrewsbury, MA 01545-5663
- **Phone:** (508) 842-6502 · **Fax:** (508) 845-1841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Community Health Connections, Inc. (NPI 1891953048, Leominster, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 22, 2020
- **Other identifiers:** Medicaid 110107441A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1568724813) · Data from the CMS NPPES public registry.