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DR. SUJAY MADDURI M.D.
NPI 1962738351
Internal Medicine - Endocrinology, Diabetes & Metabolism in Midland, MI

Active since October 20, 2009PECOS EnrolledAccepts Medicare Assignment
301 W WACKERLY ST, MIDLAND, MI 48640(989) 488-5850(989) 488-5865 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Jul 21, 2022, May 22, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Sujay Madduri M.d. NPPES

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

DR. SUJAY MADDURI M.D. (NPI 1962738351) is an individual endocrinology, diabetes & metabolism provider in Midland, Michigan, licensed in Michigan (4301105433) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center West Branch, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1962738351
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SUJAY MADDURICredential: M.D.
Location Address301 W WACKERLY STMidland, MI 48640-2761
Mailing Address4201 Campus Ridge DriveMidland, MI 48640 · (989) 488-5850 · Fax (989) 488-5865
Phone(989) 488-5850
Fax(989) 488-5865
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 20, 2009
Last NPPES UpdateAugust 20, 20244 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1962738351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MI · 4301105433
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
301 W WACKERLY ST, Midland, MI 48640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Sujay Madduri 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 ID3870719107
PECOS Enrollment IDI20140723000739
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 5

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.

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.
373 services182 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
203 services95 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.
97 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Mymichigan Medical Center Clare

Acute Care Hospitals · Clare, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48640 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers152 claims1,779 services$18.29 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers164 claims5,246 services$2.30 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims129 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims41 services$1.03 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
5 suppliers146 claims146 services$306.07 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
19 suppliers110 claims17,190 services$6.99 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 14

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

DR. WILLIAM R. FELTEN MD
Internal Medicine (Interventional Cardiology)
301 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 832-0900
KENNETH VANSUMEREN PA
Physician Assistant
301 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 832-0900
ASHLEY DAILEY RN, MSN, NP
Nurse Practitioner (Adult Health)
301 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 832-0900
SUSAN MICHELLE SALLACH MD
Internal Medicine (Cardiovascular Disease)
301 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 832-0900
LAURA J BROWN CNP
Nurse Practitioner
301 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 832-0900
MICHAEL A LAUER M.D.
Internal Medicine (Interventional Cardiology)
301 W WACKERLY ST, SUITE B
MIDLAND, MI 48640
Midland County (989) 832-0900
DR. ROBERT A. GENOVESE MD
Internal Medicine (Cardiovascular Disease)
301 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 832-0900
WALEED H DOGHMI M.D.
Internal Medicine (Cardiovascular Disease)
301 W WACKERLY ST
MIDLAND, MI 48640
Midland County (989) 832-0900

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 Sujay Madduri's NPI number?

The NPI number for Sujay Madduri is 1962738351. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Sujay Madduri located?

Sujay Madduri practices at 301 W Wackerly St, Midland, MI 48640. The listed phone number is (989) 488-5850.

What is Sujay Madduri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sujay Madduri enrolled in Medicare?

Yes. Sujay Madduri 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 Sujay Madduri accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sujay Madduri 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 Sujay Madduri affiliated with any hospitals?

According to CMS data, Sujay Madduri is affiliated with Mymichigan Medical Center West Branch, Tawas St Joseph Hospital, Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.

When was this NPI record last updated?

The NPPES record for Sujay Madduri was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.