CARLOS SAN PEDRO MADAMBA MD
NPI 1811994866
Internal Medicine - Hematology & Oncology in Philadelphia, PA

Active since July 06, 2005PECOS EnrolledAccepts Medicare Assignment
79.93/100
CMS Quality Rating
51 N 39TH ST, PHILADELPHIA, PA 19104(856) 906-6273 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos San Pedro Madamba Md NPPES

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

CARLOS SAN PEDRO MADAMBA MD (NPI 1811994866) is an individual hematology & oncology provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA05508600) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1811994866
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameCARLOS SAN PEDRO MADAMBACredential: MD
Location Address51 N 39TH STPhiladelphia, PA 19104-2640
Mailing Address51 N 39th StPhiladelphia, PA 19104-2640 · (856) 906-6273
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 6, 2005
Last NPPES UpdateSeptember 7, 2016
NPI 1811994866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NJ · 25MA05508600
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
51 N 39TH ST, Philadelphia, PA 19104

Other Identifiers 3

Medicare UPINE62131
Medicare ID-Type Unspecified612871ARVNJ
Medicaid6042201NJ

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

Carlos San Pedro Madamba 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 ID9032259619
PECOS Enrollment IDI20100907000705
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 18

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.

Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
2,100 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
509 services272 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.
371 services168 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
255 services119 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
200 services105 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.
106 services66 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

79.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.51
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier45 claims45 services$18.34 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier50 claims50 services$35.69 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier50 claims427 services$1.64 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.

Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Urology
51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104
Surgery (Trauma Surgery)
51 N 39TH ST
PHILADELPHIA, PA 19104
Registered Nurse
51 N 39TH ST
PHILADELPHIA, PA 19104
Obstetrics & Gynecology (Gynecology)
51 N 39TH ST, MOB 340
PHILA, PA 19104
Internal Medicine (Cardiovascular Disease)
51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104
Internal Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104
Family Medicine
51 N 39TH ST
PHILADELPHIA, PA 19104

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 Carlos Madamba's NPI number?

The NPI number for Carlos Madamba is 1811994866. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is Carlos Madamba located?

Carlos Madamba practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (856) 906-6273.

What is Carlos Madamba's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Carlos Madamba enrolled in Medicare?

Yes. Carlos Madamba 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.

Is Carlos Madamba affiliated with any hospitals?

According to CMS data, Carlos Madamba is affiliated with West Jersey Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Madamba was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.