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MADELEINE R. HELDMAN MD
NPI 1649669342
Internal Medicine - Infectious Disease in Durham, NC

Active since January 19, 2015PECOS EnrolledAccepts Medicare Assignment
40 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: September 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2022, Feb 18, 2022, Sep 4, 2020 and 1 more (4 updates tracked since 2016).

About Madeleine R. Heldman Md NPPES

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

MADELEINE R. HELDMAN MD (NPI 1649669342) is an individual infectious disease provider in Durham, North Carolina, licensed in Washington (MD61176494) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Northwestern University Feinberg Medical School (2016).

NPPES Registry Identity

NPI1649669342
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMADELEINE R. HELDMANCredential: MD
Location Address40 DUKE MEDICINE CIRDurham, NC 27710-2420
Mailing Address10 Duke Medicine CirDurham, NC 27710-1000
Phone(919) 684-8111
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2016
Enumeration DateJanuary 19, 2015
Last NPPES UpdateSeptember 5, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2022
✔ NPI 1649669342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in WA · MD61176494
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 MD61176494 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
40 DUKE MEDICINE CIR, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Madeleine R. Heldman 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 ID3577855139
PECOS Enrollment IDI20220930000385
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 4

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 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.
202 services53 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

MARY E KLOTMAN MD
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
JONATHAN PAUL PICCINI SR. M.D., M.H.S.
Internal Medicine (Cardiovascular Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-8111
AMY TENDLER PA
Physician Assistant
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-5057
DR. LINDSAY KING M.D.
Internal Medicine
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 684-7685
MICHAEL TCHEUPDJIAN FORRESTER MD, PHD
Internal Medicine (Pulmonary Disease)
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-1300
MRS. MEGHAN AMY WARD M.S. CCC-SLP
Speech-Language Pathologist
40 DUKE MEDICINE CIR, CLINIC 1I
DURHAM, NC 27710
Durham County (919) 684-3451
RAGHUBINDER S GILL M.D.
Internal Medicine (Gastroenterology)
40 DUKE MEDICINE CIR, DUKE CLINIC 2H
DURHAM, NC 27710
Durham County (919) 684-2661
ETHAN YICHEN SONG
Student in an Organized Health Care Education/Training Program
40 DUKE MEDICINE CIR
DURHAM, NC 27710
Durham County (919) 681-7139

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 Madeleine Heldman's NPI number?

The NPI number for Madeleine Heldman is 1649669342. It was assigned to this individual provider in the NPPES registry on January 19, 2015.

Where is Madeleine Heldman located?

Madeleine Heldman practices at 40 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Madeleine Heldman's specialty?

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

Is Madeleine Heldman enrolled in Medicare?

Yes. Madeleine Heldman 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 Madeleine Heldman accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Madeleine Heldman 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 Madeleine Heldman affiliated with any hospitals?

According to CMS data, Madeleine Heldman is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Madeleine Heldman was last updated on September 5, 2022. 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.