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MADIHA KORAISHY MD
NPI 1679882377
Internal Medicine in New Haven, CT

Active since September 29, 2010PECOS EnrolledAccepts Medicare Assignment
70.67/100
CMS Quality Rating
1450 CHAPEL ST, DEPARTMENT OF MEDICINE,, NEW HAVEN, CT 06511(203) 789-6080 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Madiha Koraishy Md NPPES

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

MADIHA KORAISHY MD (NPI 1679882377) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (52300) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1679882377
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMADIHA KORAISHYCredential: MD
Location Address1450 CHAPEL ST, DEPARTMENT OF MEDICINE,New Haven, CT 06511-4405
Mailing Address1450 Chapel St, Department Of Medicine,New Haven, CT 06511-4405 · (203) 789-6080
Phone(203) 789-6080
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 29, 2010
Last NPPES UpdateAugust 9, 2013
✔ NPI 1679882377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 52300
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.
1450 CHAPEL ST, New Haven, CT 06511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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

Madiha Koraishy 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 ID749424794
PECOS Enrollment IDI20240718004071, I20250303000691
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 5

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.

Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth G0407
A follow-up inpatient consultation is a service where a doctor spends around 25 minutes discussing your health progress via telehealth. This virtual meeting helps track your recovery, manage your treatment plan, and address any concerns you may have. It's a crucial part of your ongoing care.
42 services28 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
34 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services25 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
21 services19 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital- Winnsboro

Critical Access Hospitals · Winnsboro, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451381
Location719 West Coke RoadWinnsboro, TX 75494 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

70.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.4
Promoting Interoperability73
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
70%86 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$120.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ARTHUR H KNOWLTON MD
Radiology (Therapeutic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3131
CAROLA MARTE MD
Internal Medicine
1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4135
CHARLES WILLIAM JONES JR. PHARMD, BCPS
Pharmacist (Pharmacotherapy)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-6267
ANDREA LOWE PAC
Physician Assistant
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3464
KATHERINE ADAMS
Speech-Language Pathologist
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (475) 246-6982
J E FREDRIK ZETTERBERG MD
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-3124
SARAH ROSE ROCKS PA
Physician Assistant (Medical)
1450 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 680-6185
DR. JULIE ROTHSTEIN ROSENBAUM MD
Internal Medicine
1450 CHAPEL ST, ADULT PRIMARY CARE CENTER
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 789-4044

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 Madiha Koraishy's NPI number?

The NPI number for Madiha Koraishy is 1679882377. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Madiha Koraishy located?

Madiha Koraishy practices at 1450 Chapel St Department Of Medicine,, New Haven, CT 06511. The listed phone number is (203) 789-6080.

What is Madiha Koraishy's specialty?

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

Is Madiha Koraishy enrolled in Medicare?

Yes. Madiha Koraishy 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 Madiha Koraishy accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Madiha Koraishy 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 Madiha Koraishy affiliated with any hospitals?

According to CMS data, Madiha Koraishy is affiliated with Sullivan County Community Hospital, Christus Mother Frances Hospital and Christus Mother Frances Hospital- Winnsboro.

When was this NPI record last updated?

The NPPES record for Madiha Koraishy was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.