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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: August 16, 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
Phone(423) 246-6445
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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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 8

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.

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.
1,706 services24 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.
925 services46 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.
824 services58 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.
359 services20 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.
208 services129 patients
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.
180 services107 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.

REGIONAL ALLERGY & ASTHMA CENTER, PC
Specialist
#8 SHERIDAN SQUARE, ST 201
KINGSPORT, TN 37660
Sullivan County (423) 246-6445
MRS. CATHERINE ANN HENSLEY FNP-C
Nurse Practitioner (Primary Care)
#8 SHERIDAN SQUARE, STE 201
KINGSPORT, TN 37660
Sullivan County (423) 246-6445

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 Shailee Madhok's NPI number?

The NPI number for Shailee Madhok is 1912965500. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Shailee Madhok located?

Shailee Madhok practices at #8 Sheridan Square Ste 201, Kingsport, TN 37660. The listed phone number is (423) 246-6445.

What is Shailee Madhok's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shailee Madhok enrolled in Medicare?

Yes. Shailee Madhok 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.

What insurance does Shailee Madhok accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Shailee Madhok as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shailee Madhok was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.