DR. SHAILEE A MADHOK M.D.
NPI 1912965500
Specialist in Kingsport, TN

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
26.78/100
CMS Quality Rating
#8 SHERIDAN SQUARE, STE 201, KINGSPORT, TN 37660(423) 246-6445(423) 246-8240 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shailee A Madhok M.d. NPPES

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

DR. SHAILEE A MADHOK M.D. (NPI 1912965500) is an individual specialist in Kingsport, Tennessee, licensed in Tennessee (39915) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1912965500
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. SHAILEE A MADHOKCredential: M.D.
Location Address#8 SHERIDAN SQUARE, STE 201Kingsport, TN 37660
Mailing Address#8 Sheridan Square, Ste 201Kingsport, TN 37660 · (423) 246-6445 · Fax (423) 246-8240
Fax(423) 246-8240
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
NPI 1912965500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · 39915
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other Identifiers 5

OtherP00419964TN · Railroad Medicare
OtherTN0104TN · John Deere Health
Other4114615TN · Blue Cross/blue Shield
Medicaid3335080TN
Other192130VA · Anthem Bcbs

Accepted 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. Shailee A Madhok 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 ID2769383074
PECOS Enrollment IDI20051102001010, I20210324002878
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,853 services40 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,300 services90 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
1,028 services95 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
504 services32 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
286 services146 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
87 services73 patients

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.

26.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost89.27

Referred Medical Equipment & Supplies CMS DME claims 5

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
4 suppliers51 claims174 services$18.94 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers26 claims15,080 services$9.50 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims812 services$35.29 avg. paid by Medicare
Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier11 claims3,575 services$12.28 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
3 suppliers39 claims335 services$2.41 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 2

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

Specialist
#8 SHERIDAN SQUARE, ST 201
KINGSPORT, TN 37660
Nurse Practitioner (Primary Care)
#8 SHERIDAN SQUARE, STE 201
KINGSPORT, TN 37660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912965500, enumerated as an "individual" on May 03, 2006.

The provider is located at #8 SHERIDAN SQUARE STE 201 KINGSPORT, TN 37660 and the phone number is (423) 246-6445.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee,. Please consult your insurance carrier or call the provider to verify.