DR. PADMAVATHI MADATHANAPALLI MD
NPI 1336253152
Internal Medicine in San Leandro, CA

NPI Status: Active since August 18, 2006

Contact Information

1532 150TH AVE
SAN LEANDRO, CA
ZIP 94578
Phone: (510) 351-6363
Fax: (510) 278-3757

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  • Individual
  • Female
  • Internal Medicine
  • PECOS Enrolled

About PADMAVATHI MADATHANAPALLI

This page provides the complete NPI Profile along with additional information for Padmavathi Madathanapalli, an internist established in San Leandro, California with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1336253152 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number A80139 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1336253152
Provider Name
DR. PADMAVATHI MADATHANAPALLI MD
Gender
Female
Entity Type
Individual
Location Address
1532 150TH AVE SAN LEANDRO, CA 94578
Location Phone
(510) 351-6363
Location Fax
(510) 278-3757
Mailing Address
1532 150TH AVE SAN LEANDRO, CA 94578
Mailing Phone
(510) 351-6363
Mailing Fax
(510) 278-3757
Is Sole Proprietor?
No
Enumeration Date
08-18-2006
Last Update Date
03-26-2022
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An internist like Padmavathi Madathanapalli is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
A80139
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Padmavathi Madathanapalli 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    7 DME suppliers used 23 Medicare Claims 57 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 31 times for 27 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 160 times for 63 patients

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 94578 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $153.83
  • Minimum New Patient Price $69
  • Maximum New Patient Price $202.35
  • Average New Patient Copayment $38.45
  • Minimum New Patient Copayment $17.25
  • Maximum New Patient Copayment $50.58

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $119.48
  • Minimum Established Patient Price $23.44
  • Maximum Established Patient Price $166.46
  • Average Established Patient Copayment $29.87
  • Minimum Established Patient Copayment $5.86
  • Maximum Established Patient Copayment $41.61

* 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336253152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366456110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 5 + 6 + 1 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1336253152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033308614CALIFORNIA CARDIOVASCULAR CONSULTANTS
Organization
Internal Medicine1532 150TH AVE
SAN LEANDRO, CA 94578
(510) 351-6363
1629405618DR ADITYA JAIN MD INC
Organization
Internal Medicine1532 150TH AVE
SAN LEANDRO, CA 94578
(510) 351-6363
1053727305 DEEPA VINCENT MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1532 150TH AVE
SAN LEANDRO, CA 94578
(510) 351-6363
1225410913 LEE-MAY HUANG NP
Individual
Nurse Practitioner1532 150TH AVE
SAN LEANDRO, CA 94578
(510) 351-6363
1821102641DR. ADITYA JAIN MD
Individual
Internal Medicine (Cardiovascular Disease)1532 150TH AVE
SAN LEANDRO, CA 94578
(501) 351-6363
1306041355DR. ALEXANDER KOPELNIK M.D.
Individual
Internal Medicine (Cardiovascular Disease)1532 150TH AVE
SAN LEANDRO, CA 94578
(510) 351-6363

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336253152, enumerated in the NPI registry as an "individual" on August 18, 2006

The provider is located at 1532 150th Ave San Leandro, Ca 94578 and the phone number is (510) 351-6363

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $153.83 with an average copayment of $38.45 for new patient appointments. Established patients should expect a typical charge of $119.48 and an average copayment of 29.87. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.

This NPI record was last updated on August 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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