RAJA SEKHAR REDDY MADATHALA MD
NPI 1932477536
Internal Medicine in Ypsilanti, MI
About Raja Sekhar Reddy Madathala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJA SEKHAR REDDY MADATHALA MD (NPI 1932477536) is an individual internal medicine provider in Ypsilanti, Michigan, licensed in Michigan (EMO0004721) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Raja Sekhar Reddy Madathala 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.
Medicare Billing Reassignments
5Medicare enrollment records show Raja Sekhar Madathala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ypsilanti, MI 48197
- Reassigned Medicare billing, Michigan enrollment
- 1,480 clinicians in this Medicare group
Lake City, MN 55041
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1164463659 (Minnesota)
- 675 clinicians in this Medicare group
Red Wing, MN 55066
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1063435410 (Minnesota)
- 1,571 clinicians in this Medicare group
Waseca, MN 56093
- Reassigned Medicare billing, Minnesota enrollment
- 1,572 clinicians in this Medicare group
Fairmont, MN 56031
- Reassigned Medicare billing, Minnesota enrollment
- 806 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joe Mercy Hospital System Livonia
Acute Care Hospitals · Livonia, MITrinity Health Ann Arbor Hospital
Acute Care Hospitals · Ann Arbor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48197 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
YPSILANTI, MI 48197
YPSILANTI, MI 48197
YPSILANTI, MI 48197
YPSILANTI, MI 48197
YPSILANTI, MI 48197
YPSILANTI, MI 48197
YPSILANTI, MI 48197
YPSILANTI, MI 48197
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 Raja Sekhar Madathala's NPI number?
The NPI number for Raja Sekhar Madathala is 1932477536. It was assigned to this individual provider in the NPPES registry on December 9, 2011.
Where is Raja Sekhar Madathala located?
Raja Sekhar Madathala practices at Iha Hospital Medicine Services 5301 E Huron River Drive, Ypsilanti, MI 48197. The listed phone number is (734) 712-8676.
What is Raja Sekhar Madathala's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Raja Sekhar Madathala enrolled in Medicare?
Yes. Raja Sekhar Madathala 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.
Which organizations bill Medicare for Raja Sekhar Madathala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raja Sekhar Madathala reassigns Medicare benefits to 5 organizations: Iha Health Services Corporation (Ypsilanti, MI), Mayo Clinic Health System-Lake City (Lake City, MN), Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN), Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN) and Mayo Clinic Health System-Fairmont (Fairmont, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raja Sekhar Madathala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raja Sekhar Madathala accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Raja Sekhar Madathala 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.
Is Raja Sekhar Madathala affiliated with any hospitals?
According to CMS data, Raja Sekhar Madathala is affiliated with St Joe Mercy Hospital System Livonia and Trinity Health Ann Arbor Hospital.
When was this NPI record last updated?
The NPPES record for Raja Sekhar Madathala was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Raja Sekhar Reddy Madathala, MD · NPI 1932477536
Internal Medicine physician in Ypsilanti, Michigan. Individual provider, active in the CMS NPPES registry since December 9, 2011.
## Identity
- **NPI:** 1932477536 (Entity type: Individual)
- **Enumerated:** December 9, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** EMO0004721 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE, Ypsilanti, MI 48197
- **Phone:** (734) 712-8676
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Iha Health Services Corporation (NPI 1235659574, Ypsilanti, MI); Mayo Clinic Health System-Lake City (NPI 1538113022, Lake City, MN); Mayo Clinic Health System-Southeast Minnesota Region (NPI 1114453883, Red Wing, MN); Mayo Clinic Health System-Southwest Minnesota Region (NPI 1518494251, Waseca, MN); Mayo Clinic Health System-Fairmont (NPI 1366410862, Fairmont, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** August 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932477536) · Data from the CMS NPPES public registry.