MRS. MADHAVI NAGILLA M.D.
NPI 1639314834
Internal Medicine in Chicago, IL

Active since December 03, 2008PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2361 PAYSPHERE CIR, CHICAGO, IL 60674(847) 746-4358 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Madhavi Nagilla M.d. NPPES

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

MRS. MADHAVI NAGILLA M.D. (NPI 1639314834) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036.129619) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639314834
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. MADHAVI NAGILLACredential: M.D.
Location Address2361 PAYSPHERE CIRChicago, IL 60674
Mailing Address2520 Elisha AveZion, IL 60099 · (847) 872-4561
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 3, 2008
Last NPPES UpdateMarch 6, 2017
NPI 1639314834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IL · 036.129619 Licensed in IL · 125054243
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2361 PAYSPHERE CIR, Chicago, IL 60674

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

Mrs. Madhavi Nagilla 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 ID7315182912
PECOS Enrollment IDI20241213001878, I20250313001773
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 3

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
80 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services29 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60674 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
2361 PAYSPHERE CIR
CHICAGO, IL 60674
Internal Medicine (Hematology & Oncology)
2361 PAYSPHERE CIR
CHICAGO, IL 60674
Internal Medicine (Pulmonary Disease)
2361 PAYSPHERE CIR
CHICAGO, IL 60674
Internal Medicine (Medical Oncology)
2361 PAYSPHERE CIR
CHICAGO, IL 60674
Physician Assistant
2361 PAYSPHERE CIR
CHICAGO, IL 60674
Physician Assistant
2361 PAYSPHERE CIR
CHICAGO, IL 60674
Obstetrics & Gynecology (Gynecologic Oncology)
2361 PAYSPHERE CIR
CHICAGO, IL 60674
Surgery (Hospice and Palliative Medicine)
2361 PAYSPHERE CIR
CHICAGO, IL 60674

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 Nagilla's NPI number?

The NPI number for Madhavi Nagilla is 1639314834. It was assigned to this individual provider in the NPPES registry on December 3, 2008.

Where is Madhavi Nagilla located?

Madhavi Nagilla practices at 2361 Paysphere Cir, Chicago, IL 60674. The listed phone number is (847) 746-4358.

What is Madhavi Nagilla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madhavi Nagilla enrolled in Medicare?

Yes. Madhavi Nagilla 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.

Is Madhavi Nagilla affiliated with any hospitals?

According to CMS data, Madhavi Nagilla is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Madhavi Nagilla was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.