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DR. EMMANUEL C MADUAKOR M.D.
NPI 1861474744
Hospitalist in Worcester, MA

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-8515(508) 334-6490 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2023, Sep 12, 2022, Mar 25, 2021 and 2 more (5 updates tracked since 2020).

About Dr. Emmanuel C Maduakor M.d. NPPES

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

DR. EMMANUEL C MADUAKOR M.D. (NPI 1861474744) is an individual hospitalist provider in Worcester, Massachusetts, licensed in Massachusetts (222609) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861474744
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. EMMANUEL C MADUAKORCredential: M.D.
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 334-8515
Fax(508) 334-6490
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 16, 2005
Last NPPES UpdateJanuary 26, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1861474744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 222609
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 222609 (MA)
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1101 Page StNew Bedford, MA 02740-3464 · Phone (508) 973-5919 · Fax (508) 973-5916
Location 2680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7299
Location 341 Mall RdBurlington, MA 01805-0002 · Phone (781) 744-8000

Other Identifiers 1

Medicaid2088240MA

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. Emmanuel C Maduakor 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 ID1456313261
PECOS Enrollment IDI20041103000049, I20251216004933
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 2

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.

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.
164 services162 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
17%54 patients1/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
71%140 patients3/55-star benchmark: 97%
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.

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Emmanuel Maduakor's NPI number?

The NPI number for Emmanuel Maduakor is 1861474744. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Emmanuel Maduakor located?

Emmanuel Maduakor practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-8515.

What is Emmanuel Maduakor's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Emmanuel Maduakor enrolled in Medicare?

Yes. Emmanuel Maduakor 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 Emmanuel Maduakor affiliated with any hospitals?

According to CMS data, Emmanuel Maduakor is affiliated with Lowell General Hospital, Mercy Medical Ctr and Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Emmanuel Maduakor was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.