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MADHAVI GORUSU M.D.
NPI 1982894697
Internal Medicine - Hematology & Oncology in Hartford, CT

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
85 SEYMOUR ST, SUITE 901, HARTFORD, CT 06106(860) 246-6647(860) 240-7067 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madhavi Gorusu M.d. NPPES

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

MADHAVI GORUSU M.D. (NPI 1982894697) is an individual hematology & oncology provider in Hartford, Connecticut, licensed in Connecticut (042803) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1982894697
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMADHAVI GORUSUCredential: M.D.
Location Address85 SEYMOUR ST, SUITE 901Hartford, CT 06106-5501
Mailing Address2110 Silas Deane Hwy, 2nd FlRocky Hill, CT 06067-2313 · (860) 258-3480 · Fax (860) 571-6800
Phone(860) 246-6647
Fax(860) 240-7067
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 30, 2007
Last NPPES UpdateMarch 8, 2012
✔ NPI 1982894697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in CT · 042803
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

85 SEYMOUR ST, Hartford, CT 06106
Open in Google Maps ↗

Other Identifiers 1

Other042803CT · Medical License

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

Madhavi Gorusu 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 ID7810083011
PECOS Enrollment IDI20071019000060
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 3

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.
576 services197 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
173 services81 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%1,410 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%142 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%707 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
28%707 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%707 patients1/55-star benchmark: 59%
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.

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.

LEIGH MAE CABRAL DMD
Dentist (General Practice)
85 SEYMOUR ST, SUITE 922
HARTFORD, CT 06106
Capitol Planning Region (860) 518-5185
DR. JOHN P. OPALACZ M.D.
Radiology (Diagnostic Radiology)
85 SEYMOUR ST, SUITE 200
HARTFORD, CT 06106
Capitol Planning Region (860) 289-3375
JAMES JOSEPH GALLAGHER JR. MD
Surgery (Vascular Surgery)
85 SEYMOUR ST, SUITE 409
HARTFORD, CT 06106
Capitol Planning Region (860) 522-4158
DR. SAMUEL K ANYATONWU MD
Internal Medicine
85 SEYMOUR ST, SUITE 1009
HARTFORD, CT 06106
Capitol Planning Region (860) 728-6674
JOHN RUSSOMANNO MD
Internal Medicine (Pulmonary Disease)
85 SEYMOUR ST, SUITE 923
HARTFORD, CT 06106
Capitol Planning Region (860) 247-1876
CONNECTICUT GI PLLC
Internal Medicine (Gastroenterology)
85 SEYMOUR ST, 1000
HARTFORD, CT 06106
Capitol Planning Region (860) 246-2571
ISABEL NIP
Student in an Organized Health Care Education/Training Program
85 SEYMOUR ST
HARTFORD, CT 06106
Capitol Planning Region (860) 972-5107
DR. PETER R BARNETT MD
Orthopaedic Surgery
85 SEYMOUR ST, SUITE 607
HARTFORD, CT 06106
Capitol Planning Region (860) 549-3210

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 Madhavi Gorusu's NPI number?

The NPI number for Madhavi Gorusu is 1982894697. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Madhavi Gorusu located?

Madhavi Gorusu practices at 85 Seymour St Suite 901, Hartford, CT 06106. The listed phone number is (860) 246-6647.

What is Madhavi Gorusu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Madhavi Gorusu enrolled in Medicare?

Yes. Madhavi Gorusu 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.

When was this NPI record last updated?

The NPPES record for Madhavi Gorusu was last updated on March 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.