SILPA MADDALA M.D
NPI 1982917373
Internal Medicine in Marion, IL

Q: What is Silpa Maddala's NPI number?

The NPI number for Silpa Maddala is 1982917373. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Q: What is Silpa Maddala's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Silpa Maddala was last updated on June 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 14, 2010PECOS Enrolled

3333 W DEYOUNG ST, MARION, IL 62959(618) 998-7000 Get Directions Write a Review

NPPES record last updated: June 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Silpa Maddala M.d NPPES

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

SILPA MADDALA M.D (NPI 1982917373) is an individual internal medicine provider in Marion, Illinois, licensed in Illinois (036132537) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982917373

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSILPA MADDALACredential: M.D

Location Address3333 W DEYOUNG STMarion, IL 62959-5884

Mailing AddressPo Box 1105Indianapolis, IN 46206-1105 · (618) 549-5361 · Fax (618) 529-0568

Phone(618) 998-7000

Sole ProprietorNo

Enumeration DateJuly 14, 2010

Last NPPES UpdateJune 1, 2019

✔ NPI 1982917373 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 IL · 036132537✔ Licensed in IL · 125.057477

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 036132527 (IL)

3333 W DEYOUNG ST, Marion, IL 62959

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Silpa Maddala M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Silpa Maddala reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Physicians Of Illinois, LLC

105 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Illinois enrollment
419 clinicians in this Medicare group

NPI 1043598865 (314) 344-6000

Cogent Healthcare Of Illinois, LLC

199 mi

Internal Medicine

1005 BROADWAY ST
Quincy, IL 62301

Reassigned Medicare billing, Illinois enrollment
81 clinicians in this Medicare group

NPI 1487897849 (615) 377-5652

Sound Inpatient Physicians-Michigan, PLLC

364 mi

Internal Medicine

1521 GULL RD
Kalamazoo, MI 49048

Reassigned Medicare billing, Michigan enrollment
596 clinicians in this Medicare group

NPI 1093967861 (269) 226-7000

Apogee Medical Group Waukesha, Sc

366 mi

Hospitalist

725 AMERICAN AVE
Waukesha, WI 53188

Reassigned Medicare billing, Wisconsin enrollment
81 clinicians in this Medicare group

NPI 1528544608 (262) 928-5400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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…

96%298 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 4

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier14 claims14 services$897.60 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

6 suppliers46 claims46 services$96.66 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$33.22 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers14 claims14 services$33.32 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.

DAVID I BLUE CRNA

Nurse Anesthetist, Certified Registered