MADHAVI GADDAM MD
NPI 1932193653
Internal Medicine - Gastroenterology in Poughkeepsie, NY

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
86.7/100
CMS Quality Rating
159 BARNEGAT RD FL 2, POUGHKEEPSIE, NY 12601(845) 452-9800(845) 452-7691 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Nov 15, 2017 (3 updates tracked since 2017).

About Madhavi Gaddam Md NPPES

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

MADHAVI GADDAM MD (NPI 1932193653) is an individual gastroenterology provider in Poughkeepsie, New York, licensed in New York (220330) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains a secondary practice location in Poughkeepsie.

NPPES Registry Identity

NPI1932193653
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameMADHAVI GADDAMCredential: MD
Location Address159 BARNEGAT RD FL 2Poughkeepsie, NY 12601-5401
Mailing Address159 Barnegat Rd Fl 2Poughkeepsie, NY 12601-5401 · (845) 452-9800 · Fax (845) 452-7691
Fax(845) 452-7691
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1932193653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 220330
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
159 BARNEGAT RD FL 2, Poughkeepsie, NY 12601

Secondary Practice Location 1

Location 11 Webster Ave, Suite 303Poughkeepsie, NY 12601-1361 · Phone (845) 452-9800 · Fax (845) 452-7691

Other Identifiers 2

OtherMG03V69810NY · Empire Blue Cross Blue Shield
Medicaid02218106NY

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

Madhavi Gaddam Md 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 ID840205878
PECOS Enrollment IDI20060213000708
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 30

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,900 services18 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.
394 services211 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.
272 services196 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
270 services177 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
203 services127 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
130 services82 patients

Hospital Affiliations CMS Care Compare 4

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

86.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.4
Promoting Interoperability97
Improvement Activities40
Cost72.79

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Gastroenterology)
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601
Internal Medicine (Gastroenterology)
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601
Nurse Practitioner (Family)
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601
Internal Medicine (Gastroenterology)
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601
Internal Medicine (Gastroenterology)
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601
Nurse Practitioner (Family)
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601
Internal Medicine (Gastroenterology)
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601
Dietitian, Registered
159 BARNEGAT RD FL 2
POUGHKEEPSIE, NY 12601

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 Madhavi Gaddam's NPI number?

The NPI number for Madhavi Gaddam is 1932193653. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Madhavi Gaddam located?

Madhavi Gaddam practices at 159 Barnegat Rd Fl 2, Poughkeepsie, NY 12601. The listed phone number is (845) 452-9800.

What is Madhavi Gaddam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Madhavi Gaddam enrolled in Medicare?

Yes. Madhavi Gaddam 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 Madhavi Gaddam affiliated with any hospitals?

According to CMS data, Madhavi Gaddam is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, Westchester Medical Center and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Madhavi Gaddam was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.