DR. MADHAVI KONDUR MUPPALA M.D.
NPI 1902040462
Family Medicine in Daytona Beach, FL

Q: What is Madhavi Kondur Muppala's NPI number?

The NPI number for Madhavi Kondur Muppala is 1902040462. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Madhavi Kondur Muppala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 28, 2009PECOS EnrolledAccepts Medicare Assignment

1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117(386) 274-0500 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Madhavi Kondur Muppala M.d. NPPES

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

DR. MADHAVI KONDUR MUPPALA M.D. (NPI 1902040462) is an individual family medicine provider in Daytona Beach, Florida, licensed in Florida (ME121338) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bunnell, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1902040462

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MADHAVI KONDUR MUPPALACredential: M.D.

Location Address1845 HOLSONBACK DRDaytona Beach, FL 32117-5114

Mailing Address10855 Emerald Chase DrOrlando, FL 32836-5881 · (270) 404-4986

Phone(386) 274-0500

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 28, 2009

Last NPPES UpdateMay 9, 2025

NPPES CertifiedMay 9, 2025

✔ NPI 1902040462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME121338

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1845 HOLSONBACK DR, Daytona Beach, FL 32117

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Secondary Practice Location 1

Location 1301 Dr Carter BlvdBunnell, FL 32110-6212 · Phone (386) 437-7350 · Fax (386) 437-7350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

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. Madhavi Kondur Muppala 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 ID4284000357

PECOS Enrollment IDI20221013002943

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

BARBARA L BROWNFIELD ARNP

Nurse Practitioner (Women's Health)