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RAJA SEKHAR REDDY MADATHALA MD
NPI 1932477536
Internal Medicine in Ypsilanti, MI

Active since December 09, 2011PECOS EnrolledAccepts Medicare Assignment
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE, YPSILANTI, MI 48197(734) 712-8676 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2024, Apr 22, 2024, Aug 8, 2022 and 2 more (5 updates tracked since 2017).

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

NPI1932477536
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJA SEKHAR REDDY MADATHALACredential: MD
Location AddressIHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVEYpsilanti, MI 48197
Mailing Address24 Frank Lloyd Wright Drive, Suite J2000Ann Arbor, MI 48105 · (734) 747-6766
Phone(734) 712-8676
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 9, 2011
Last NPPES UpdateAugust 26, 20245 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1932477536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · EMO0004721✔ Licensed in IL · 125059044✔ Licensed in MN · 61887
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 61887 (MN)
IHA HOSPITAL MEDICINE SERVICES, Ypsilanti, MI 48197
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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

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.

PECOS PAC ID6901021583
PECOS Enrollment IDI20240709000427
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 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.

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.
266 services109 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
94 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
84 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician 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.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

KORY ASHTON STRONG DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. NAFIS MOSTAK AHMED DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DAMANSHER SINGH SIDHU DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DIANA PAEZ PA-C
Physician Assistant
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. VIGNESHGOVIND SURIYAPRAKASH MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. SHAILESH SIMKHADA MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. CHRISTINA REJI MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. NICHOLAS BLAKE GREGORY DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676

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.

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 with the weekly NPPES data releases published by CMS.