MADHAVI GADDAM M.D.
NPI 1710198544
Internal Medicine - Endocrinology, Diabetes & Metabolism in Denton, TX
About Madhavi Gaddam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADHAVI GADDAM M.D. (NPI 1710198544) is an individual endocrinology, diabetes & metabolism provider in Denton, Texas, licensed in Texas (N3040) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted 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
Madhavi Gaddam 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Denton
Acute Care Hospitals · Denton, TXMedical City Plano
Acute Care Hospitals · Plano, TXTexas Health Presbyterian Hospital Denton
Acute Care Hospitals · Denton, TXTexas Health Presbyterian Hospital Plano
Acute Care Hospitals · Plano, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DENTON, TX 76210
DENTON, TX 76210
DENTON, TX 76210
DENTON, TX 76210
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 Gaddam's NPI number?
The NPI number for Madhavi Gaddam is 1710198544. It was assigned to this individual provider in the NPPES registry on May 24, 2007.
Where is Madhavi Gaddam located?
Madhavi Gaddam practices at 3300 Colorado Blvd, Denton, TX 76210. The listed phone number is (940) 488-4767.
What is Madhavi Gaddam's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Madhavi Gaddam enrolled in Medicare?
Yes. Madhavi Gaddam 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 Madhavi Gaddam accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Madhavi Gaddam 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 Madhavi Gaddam affiliated with any hospitals?
According to CMS data, Madhavi Gaddam is affiliated with Medical City Denton, Medical City Plano, Texas Health Presbyterian Hospital Denton and Texas Health Presbyterian Hospital Plano.
When was this NPI record last updated?
The NPPES record for Madhavi Gaddam was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.