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HARISH MADALA MD
NPI 1639433188
Internal Medicine - Hematology & Oncology in Canton, GA

Active since June 29, 2012PECOS EnrolledAccepts Medicare Assignment
460 NORTHSIDE CHEROKEE BLVD STE 450, CANTON, GA 30115(770) 721-3800(770) 720-1890 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2024, Feb 16, 2023, Jul 20, 2022 and 1 more (4 updates tracked since 2018).

About Harish Madala Md NPPES

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

HARISH MADALA MD (NPI 1639433188) is an individual hematology & oncology provider in Canton, Georgia, licensed in Georgia (91670) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639433188
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameHARISH MADALACredential: MD
Location Address460 NORTHSIDE CHEROKEE BLVD STE 450Canton, GA 30115-8020
Mailing Address460 Northside Cherokee Blvd Ste 450Canton, GA 30115-8020 · (770) 721-3800 · Fax (276) 679-6912
Phone(770) 721-3800
Fax(770) 720-1890
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 29, 2012
Last NPPES UpdateApril 11, 20244 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1639433188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in GA · 91670✔ Licensed in VA · 0101264035
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301099976 (MI)
460 NORTHSIDE CHEROKEE BLVD STE 450, Canton, GA 30115
Open in Google Maps ↗

Other Identifiers 1

Other91670GA · Georgia Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Harish Madala 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 ID5193073781
PECOS Enrollment IDI20220523001999
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 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.
412 services106 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.
217 services136 patients
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.
116 services43 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.
44 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 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.
41 services41 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

MS. MING CHI M.D.
Internal Medicine (Hematology & Oncology)
460 NORTHSIDE CHEROKEE BLVD STE 450
CANTON, GA 30115
Cherokee County (404) 721-3800
SAMANTHA ROSE STEWART PA-C
Physician Assistant
460 NORTHSIDE CHEROKEE BLVD STE 450
CANTON, GA 30115
Cherokee County (770) 721-3800
MISS MORGAN P BOWLER PA-C
Physician Assistant (Medical)
460 NORTHSIDE CHEROKEE BLVD STE 450
CANTON, GA 30115
Cherokee County (770) 721-3200
MRS. LAUREN GALBRAITH AGEE NP-C
Nurse Practitioner (Family)
460 NORTHSIDE CHEROKEE BLVD STE 450
CANTON, GA 30115
Cherokee County (770) 721-3800

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 Harish Madala's NPI number?

The NPI number for Harish Madala is 1639433188. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Harish Madala located?

Harish Madala practices at 460 Northside Cherokee Blvd Ste 450, Canton, GA 30115. The listed phone number is (770) 721-3800.

What is Harish Madala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Harish Madala enrolled in Medicare?

Yes. Harish Madala 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.

What insurance does Harish Madala accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Harish Madala 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 Harish Madala affiliated with any hospitals?

According to CMS data, Harish Madala is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Harish Madala was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.