DR. SAMANTHA SANTHI MADALA MD
NPI 1972243459
Ophthalmology in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Ophthalmology with taxonomy code 207W00000X.

Active since March 31, 2022PECOS Enrolled

1200 N STATE ST, LOS ANGELES, CA 90089(323) 226-2622 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2026, Apr 26, 2022 (2 updates tracked since 2022).

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Ophthalmology
PECOS Enrolled

About SAMANTHA MADALA

This page provides the complete NPI Profile along with additional information for Samantha Madala, a provider established in Los Angeles, California with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1972243459 assigned on March 2022. The practitioner's primary taxonomy code is 207W00000X with license number A188534 (CA). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI: 1972243459 Verify this NPI
Provider Name: DR. SAMANTHA SANTHI MADALA MD
Gender: Female
Entity Type: Individual
Location Address: 1200 N STATE ST LOS ANGELES, CA 90089
Location Phone: (323) 226-2622
Mailing Address: 1200 N STATE ST LOS ANGELES, CA 90089
Mailing Phone: (408) 656-3891
Is Sole Proprietor?: Yes
Enumeration Date: 03-31-2022
Last Update Date: 04-06-2026
Code Navigator

Ophthalmologists like Samantha Madala specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Secondary Locations

1200 N State St
Los Angeles, CA 90089
(323) 226-2622

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Ophthalmology
Taxonomy Code: 207W00000X
Type: Allopathic & Osteopathic Physicians
License No.: A188534
License State: CA
Taxonomy Description: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Medicare Participation & PECOS Enrollment Status

Samantha Madala is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90089 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $142.39
Minimum New Patient Price $62.96
Maximum New Patient Price $187.6

Average New Patient Copayment $35.59
Minimum New Patient Copayment $15.74
Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $77.96
Minimum Established Patient Price $20.84
Maximum Established Patient Price $153.61

Average Established Patient Copayment $19.49
Minimum Established Patient Copayment $5.21
Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.