DR. MAMATHA GEDDAM MD - NPI 1770660300 - Family Medicine in West Allis, WI

Q: What is Mamatha Geddam's NPI number?

The NPI number for Mamatha Geddam is 1770660300. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Mamatha Geddam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mamatha Geddam was last updated on January 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mamatha Geddam Md NPPES

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

DR. MAMATHA GEDDAM MD (NPI 1770660300) is an individual family medicine provider in West Allis, Wisconsin, licensed in Wisconsin (50827-20) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1770660300

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MAMATHA GEDDAMCredential: MD

Location Address7220 W NATIONAL AVEWest Allis, WI 53214-4734

Mailing Address7220 W National AveWest Allis, WI 53214-4734 · (414) 257-8500

Phone(414) 257-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateNovember 1, 2006

Last NPPES UpdateJanuary 25, 2022

✔ NPI 1770660300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 50827-20

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7220 W NATIONAL AVE, West Allis, WI 53214

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Other Identifiers 4

OtherP00811432FL · Railroad Medicare

Medicaid001573000FL

Other146RRFL · Blue Cross Blue Shield

Medicaid1770660300WI

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

Dr. Mamatha Geddam 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 ID7315081429

PECOS Enrollment IDI20110120000615

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53214 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 11

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

GREGORY RACHU M.D.

Family Medicine (Hospice and Palliative Medicine)