MADHURI THOTA M.D.
NPI 1851425383
Family Medicine in Chicago, IL

Q: What is Madhuri Thota's NPI number?

The NPI number for Madhuri Thota is 1851425383. It was assigned to this individual provider in the NPPES registry on March 15, 2007. The provider is also known as Madhuri Gandu M.D..

Q: What is Madhuri Thota'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 Madhuri Thota was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 15, 2007PECOS Enrolled

94.1/100

CMS Quality Rating

4009 N BROADWAY ST, CHICAGO, IL 60613(773) 275-2586 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Jul 20, 2021, May 11, 2021 and 1 more (4 updates tracked since 2020).

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About Madhuri Thota M.d. NPPES

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

MADHURI THOTA M.D. (NPI 1851425383) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-106024) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851425383

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMADHURI THOTACredential: M.D.

Location Address4009 N BROADWAY STChicago, IL 60613-2110

Mailing Address14 Lake StOak Park, IL 60302-2606 · (708) 383-0113 · Fax (708) 383-9911

Phone(773) 275-2586

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMarch 15, 2007

Last NPPES UpdateSeptember 27, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1851425383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036-106024

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036106024 (IL)

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 036.106024 (IL)

4009 N BROADWAY ST, Chicago, IL 60613

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Other Names 1

Former Name (1)Madhuri Gandu M.d.

Secondary Practice Locations 2

Location 115 S McHenry, Immediate CareBuffalo Grove, IL 60089-6008 · Phone (847) 459-6100 · Fax (847) 541-4857

Location 214 Lake StOak Park, IL 60302-2606 · Phone (708) 383-0113 · Fax (708) 383-9911

Other Identifiers 1

Medicaid036-106024IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhuri Thota M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648258350

PECOS Enrollment IDI20040709000636

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

179 services172 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.

130 services128 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

50 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140114

Location5145 N California AveChicago, IL 60625 · Cook County

Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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.

AISHA AYO WESLEY PA-C

Physician Assistant (Medical)