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

Q: 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.

Q: What is Carlos Madamba's specialty?

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

Q: 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 10 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.

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: October 18, 2026.

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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 Cooper University 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

Phone(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

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Other Identifiers 3

Medicare UPINE62131

Medicare ID-Type Unspecified612871ARVNJ

Medicaid6042201NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Carlos Madamba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Healthcare Associates Of New Jersey Specialty Practices PC

3.8 mi

Internal Medicine

150 MONUMENT RD FL 4
Bala Cynwyd, PA 19004

Reassigned Medicare billing, New Jersey enrollment
58 clinicians in this Medicare group

NPI 1104630714 (610) 902-1738

Clinical Health Care Associates Of New Jersey, PC

11 mi

Pulmonary Disease

409 ROUTE 70 E
Cherry Hill, NJ 08034

Reassigned Medicare billing, New Jersey enrollment
382 clinicians in this Medicare group

NPI 1508019241 (856) 429-0505

Regional Cancer Care Associates LLC

53 mi

Hematology & Oncology

40 BEY LEA RD STE A202
Toms River, NJ 08753

Reassigned Medicare billing, New Jersey enrollment
247 clinicians in this Medicare group

NPI 1801850243 (732) 367-1535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Administration of chemotherapy into vein using push technique 96409

Chemotherapy, a cancer treatment, can be administered directly into your vein using the push technique. This involves a healthcare professional slowly injecting the drug into your vein through a syringe. It's a quick method, usually taking only a few minutes.

100 services12 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

86 services39 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

80 services27 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.

70 services68 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

57 services57 patients

Microscopic examination for white blood cells with manual cell count 85007

This is a lab test where a small sample of your blood is studied under a microscope. The goal is to count the number of white blood cells, which are crucial for your body's immune response. The count can help identify potential health issues.

55 services28 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

55 services28 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

47 services19 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

44 services13 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

40 services23 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.

38 services26 patients

Administration of additional new drug or substance into vein, 1 hour or less 96417

This procedure involves introducing a new drug or substance into your vein, typically via an IV drip. It lasts for an hour or less. This method allows the substance to quickly reach your bloodstream, ensuring rapid and effective treatment.

20 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

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

Quality

63.51

Promoting Interoperability

100

Improvement Activities

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.

DR. ROBERT BURKE M.D.

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

JOSEPH FRANCIS HARRYHILL MD

Urology

51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8699

NIELS DOUGLAS MARTIN MD

Surgery (Trauma Surgery)

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DESIREE E KOTARBA CRNA

Registered Nurse

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8000

DR. SONYA LEE MD

Obstetrics & Gynecology (Gynecology)

51 N 39TH ST, MOB 340
PHILA, PA 19104

Philadelphia County (215) 662-9775

GARY J VIGILANTE MD

Internal Medicine (Cardiovascular Disease)

51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9010

ANITA C LEE MD

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

GIRIDHAR MALLYA MD

Family Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

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.

Which organizations bill Medicare for Carlos Madamba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Madamba reassigns Medicare benefits to 3 organizations: Clinical Healthcare Associates Of New Jersey Specialty Practices PC (Bala Cynwyd, PA), Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ) and Regional Cancer Care Associates LLC (Toms River, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Madamba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Madamba accept?

Health plans from Oscar Health list Carlos Madamba 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 Carlos Madamba affiliated with any hospitals?

According to CMS data, Carlos Madamba is affiliated with Cooper University Hospital, 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 10 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.