DR. MAMATHA MOODALAGIRIAIAH M.D
NPI 1891058566
Obstetrics & Gynecology - Obstetrics in Decatur, IL

Q: What is Mamatha Moodalagiriaiah's NPI number?

The NPI number for Mamatha Moodalagiriaiah is 1891058566. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Q: What is Mamatha Moodalagiriaiah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment

1 MEMORIAL DR, SUITE 300, DECATUR, IL 62526(217) 872-2400(217) 875-4680 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mamatha Moodalagiriaiah M.d NPPES

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

DR. MAMATHA MOODALAGIRIAIAH M.D (NPI 1891058566) is an individual obstetrics provider in Decatur, Illinois, licensed in Illinois (036-133305) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891058566

Entity TypeIndividualFemale

Primary Taxonomy207VX0000X

Provider Legal NameDR. MAMATHA MOODALAGIRIAIAHCredential: M.D

Location Address1 MEMORIAL DR, SUITE 300Decatur, IL 62526-6303

Mailing Address19266 Tyrone StHarper Woods, MI 48225-2499 · (320) 309-5583

Phone(217) 872-2400

Fax(217) 875-4680

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateJune 19, 2012

Last NPPES UpdateAugust 9, 2013

✔ NPI 1891058566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

License✔ Licensed in IL · 036-133305

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

1 MEMORIAL DR, Decatur, IL 62526

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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. Mamatha Moodalagiriaiah 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 ID1759524754

PECOS Enrollment IDI20130823000230

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

14 services14 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Edward Hospital

Acute Care Hospitals · Naperville, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140231

Location801 South WashingtonNaperville, IL 60540 · Du Page County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANJODH SINGH MD

Surgery

1 MEMORIAL DR
DECATUR, IL 62526

Macon County (217) 876-5500

WOMEN'S HEALTH CARE SPECIALISTS OF DECATUR, LLC

Obstetrics & Gynecology

1 MEMORIAL DR, PHYSICIANS PLAZA EAST, SUITE 216
DECATUR, IL 62526

Macon County (217) 875-5574

KATHY J SCHAFER RN, MSN, WHNP

Nurse Practitioner (Obstetrics & Gynecology)

1 MEMORIAL DR, SUITE 300
DECATUR, IL 62526

Macon County (217) 875-5545

MS. JULIE MARIE PRESTON PA-C

Physician Assistant (Medical)

1 MEMORIAL DR, PHYSCIANS PLAZA EAST STE 110
DECATUR, IL 62526

Macon County (217) 422-2442

DECATUR OBGYN ASSOCIATES, LLC

Obstetrics & Gynecology

1 MEMORIAL DR, SUITE 300
DECATUR, IL 62526

Macon County (217) 875-5545

CARLE HEALTH CARE INCORPORATED

Durable Medical Equipment & Medical Supplies

1 MEMORIAL DR, PHYSICIANS PLAZA EAST, SUITE 300
DECATUR, IL 62526

Macon County (217) 875-5545

GREGORY L TOTEL M.D.

Internal Medicine

1 MEMORIAL DR, SUITE 201
DECATUR, IL 62526

Macon County (217) 875-1090

PIERRE MICHAEL JOHNSON M.D.

Obstetrics & Gynecology (Gynecology)

1 MEMORIAL DR, SUITE 300
DECATUR, IL 62526

Macon County (217) 872-2400

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 Mamatha Moodalagiriaiah's NPI number?

The NPI number for Mamatha Moodalagiriaiah is 1891058566. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Mamatha Moodalagiriaiah located?

Mamatha Moodalagiriaiah practices at 1 Memorial Dr Suite 300, Decatur, IL 62526. The listed phone number is (217) 872-2400.

What is Mamatha Moodalagiriaiah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Mamatha Moodalagiriaiah enrolled in Medicare?

Yes. Mamatha Moodalagiriaiah 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 Mamatha Moodalagiriaiah affiliated with any hospitals?

According to CMS data, Mamatha Moodalagiriaiah is affiliated with Edward Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Mamatha Moodalagiriaiah was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.