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DR. MADHU SRINIVAS PRATTIPATI M.D.
NPI 1790936193
Internal Medicine in Lewes, DE

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
424 SAVANNAH RD, LEWES, DE 19958(302) 645-3525(302) 645-3513 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Madhu Srinivas Prattipati M.d. NPPES

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

DR. MADHU SRINIVAS PRATTIPATI M.D. (NPI 1790936193) is an individual internal medicine provider in Lewes, Delaware, licensed in Delaware (C1-0009454) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790936193
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MADHU SRINIVAS PRATTIPATICredential: M.D.
Location Address424 SAVANNAH RDLewes, DE 19958-1462
Mailing Address1515 Savannah Rd Fl 2Lewes, DE 19958-1675 · (302) 645-3499 · Fax (302) 644-4830
Phone(302) 645-3525
Fax(302) 645-3513
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 2, 2008
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1790936193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C1-0009454
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.
424 SAVANNAH RD, Lewes, DE 19958
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Secondary Practice Locations 3

Location 11305 Savannah RdLewes, DE 19958-1501 · Phone (302) 291-6450 · Fax (866) 436-6114
Location 222303 DuPont BlvdGeorgetown, DE 19947-2153 · Phone (302) 440-4866
Location 3200 Banning St, Suite 210Dover, DE 19904-3485 · Phone (302) 744-9645 · Fax (302) 744-9649

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Madhu Srinivas Prattipati 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.

PECOS PAC ID2769661438
PECOS Enrollment IDI20110127000023
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.

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.
1,646 services614 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.
257 services248 patients
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.
256 services165 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.
176 services170 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
128 services107 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
101 services100 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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…
100%486 patients5/55-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 5

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers13 claims13 services$53.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers38 claims38 services$16.74 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$784.18 avg. paid by Medicare
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
3 suppliers54 claims54 services$86.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$20.99 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.

TYLENE LAW RN
Registered Nurse (Critical Care Medicine)
424 SAVANNAH RD
LEWES, DE 19958
Sussex County (302) 645-3300
MR. DEREK ECKENRODE
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Sussex County (302) 645-3300
MRS. AMY GILBERT R.N.
Registered Nurse (Critical Care Medicine)
424 SAVANNAH RD
LEWES, DE 19958
Sussex County (302) 645-3300
CHELSEY WEBB
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Sussex County (302) 258-6833
MR. EDWARD MORRIS RN, BSN, CRNFA
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Sussex County (302) 645-3316
DEBORAH KATALENAS RN
Registered Nurse
424 SAVANNAH RD, BEEBE HEALTH CARE
LEWES, DE 19958
Sussex County (302) 645-3300
MR. JUSTIN ROSS SPENCER
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Sussex County (302) 645-3336
MS. BRITTANY KAITLYN LASKEY RN, BSN
Registered Nurse
424 SAVANNAH RD
LEWES, DE 19958
Sussex County (302) 645-3300

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 Madhu Prattipati's NPI number?

The NPI number for Madhu Prattipati is 1790936193. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Madhu Prattipati located?

Madhu Prattipati practices at 424 Savannah Rd, Lewes, DE 19958. The listed phone number is (302) 645-3525.

What is Madhu Prattipati's specialty?

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

Is Madhu Prattipati enrolled in Medicare?

Yes. Madhu Prattipati 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 Madhu Prattipati accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Madhu Prattipati 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 Madhu Prattipati affiliated with any hospitals?

According to CMS data, Madhu Prattipati is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Madhu Prattipati was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.