DR. MADHU KUMAR PATALAY M.D.,M.S. NUTRI.SCI.
NPI 1962678342
Internal Medicine in Dallas, TX

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
3500 W WHEATLAND RD, DALLAS, TX 75237(214) 947-5950 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Madhu Kumar Patalay M.d.,m.s. Nutri.sci. NPPES

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

DR. MADHU KUMAR PATALAY M.D.,M.S. NUTRI.SCI. (NPI 1962678342) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (N1044) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Methodist Charlton Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1962678342
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MADHU KUMAR PATALAYCredential: M.D.,M.S. NUTRI.SCI.
Location Address3500 W WHEATLAND RDDallas, TX 75237-3460
Mailing Address3500 W Wheatland RdDallas, TX 75237-3460 · (214) 947-5950
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 5, 2008
Last NPPES UpdateOctober 30, 2015
NPI 1962678342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · N1044
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.
3500 W WHEATLAND RD, Dallas, TX 75237

Other Identifiers 3

Other8AN227TX · Bcbs Of Texas
Medicaid201436701TX
Medicare PIN8L6542TX

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. Madhu Kumar Patalay M.d.,m.s. Nutri.sci. 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 ID7911054762
PECOS Enrollment IDI20090413000467
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.
326 services140 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.
113 services69 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.
110 services105 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75237 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
80%219 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers48 claims48 services$14.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers50 claims50 services$63.61 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 20

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

Student in an Organized Health Care Education/Training Program
3500 W WHEATLAND RD
DALLAS, TX 75237
Preventive Medicine (Undersea and Hyperbaric Medicine)
3500 W WHEATLAND RD
DALLAS, TX 75237
Nurse Practitioner (Acute Care)
3500 W WHEATLAND RD
DALLAS, TX 75237
Nurse Practitioner (Acute Care)
3500 W WHEATLAND RD
DALLAS, TX 75237
Student in an Organized Health Care Education/Training Program
3500 W WHEATLAND RD
DALLAS, TX 75237
Registered Nurse (Emergency)
3500 W WHEATLAND RD
DALLAS, TX 75237
Family Medicine
3500 W WHEATLAND RD
DALLAS, TX 75237
Physician Assistant
3500 W WHEATLAND RD
DALLAS, TX 75237

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 Madhu Patalay's NPI number?

The NPI number for Madhu Patalay is 1962678342. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Madhu Patalay located?

Madhu Patalay practices at 3500 W Wheatland Rd, Dallas, TX 75237. The listed phone number is (214) 947-5950.

What is Madhu Patalay's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madhu Patalay enrolled in Medicare?

Yes. Madhu Patalay 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 Madhu Patalay accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Madhu Patalay 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 Madhu Patalay affiliated with any hospitals?

According to CMS data, Madhu Patalay is affiliated with Methodist Charlton Medical Center.

When was this NPI record last updated?

The NPPES record for Madhu Patalay was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.