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MADHU SURYADEVARA M.D.
NPI 1578906772
Internal Medicine - Infectious Disease in Newark, NJ

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
166 LYONS AVE FL 2, NEWARK, NJ 07112(732) 937-8939 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 14, 2017, Jun 13, 2016 (3 updates tracked since 2016).

About Madhu Suryadevara M.d. NPPES

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

MADHU SURYADEVARA M.D. (NPI 1578906772) is an individual infectious disease provider in Newark, New Jersey, licensed in New Jersey (25MA10940200) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1578906772
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMADHU SURYADEVARACredential: M.D.
Location Address166 LYONS AVE FL 2Newark, NJ 07112-2016
Mailing Address166 Lyons Ave Fl 2Newark, NJ 07112-2016 · (732) 937-8939
Phone(732) 937-8939
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 8, 2013
Last NPPES UpdateApril 24, 20233 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1578906772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA10940200
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10940200 (NJ)
166 LYONS AVE FL 2, Newark, NJ 07112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Madhu Suryadevara 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 ID5395968440
PECOS Enrollment IDI20230413001775
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 Madhu Suryadevara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
3.4 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Barnabas Health Medical Group, PC
6.0 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Nj Primary Care PC
9.4 mi
Internal Medicine
500 SUMMIT AVE
Union City, NJ 07087
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1821482175 (973) 239-1600

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services31 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.
34 services32 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.
23 services19 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.
19 services15 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. RYAN ADAM RAFFEL MD
Obstetrics & Gynecology
166 LYONS AVE FL 2
NEWARK, NJ 07112
Essex County (973) 926-4882

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 Suryadevara's NPI number?

The NPI number for Madhu Suryadevara is 1578906772. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Madhu Suryadevara located?

Madhu Suryadevara practices at 166 Lyons Ave Fl 2, Newark, NJ 07112. The listed phone number is (732) 937-8939.

What is Madhu Suryadevara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Madhu Suryadevara enrolled in Medicare?

Yes. Madhu Suryadevara 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 Madhu Suryadevara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhu Suryadevara reassigns Medicare benefits to 3 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), Barnabas Health Medical Group, PC (West Orange, NJ) and Nj Primary Care PC (Union City, NJ). 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 Madhu Suryadevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhu Suryadevara accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Madhu Suryadevara 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 Suryadevara affiliated with any hospitals?

According to CMS data, Madhu Suryadevara is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Madhu Suryadevara was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.