MADHAVI KOMMAREDDI M.D.
NPI 1770798894
Hospitalist in Tulsa, OK


Quality Rating: 77.9 out of 100 score

NPI Status: Active since May 11, 2007

Contact Information

6161 S YALE AVE
TULSA, OK
ZIP 74136
Phone: (918) 494-5346

Get Directions Reviews

  • Individual
  • Female
  • Hospitalist
  • Accepts Insurance
  • PECOS Enrolled

About MADHAVI KOMMAREDDI

This page provides the complete NPI Profile along with additional information for Madhavi Kommareddi, a provider established in Tulsa, Oklahoma with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1770798894 assigned on May 2007. The practitioner's primary taxonomy code is 208M00000X with license number 26603 (OK). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1770798894
Provider Name
MADHAVI KOMMAREDDI M.D.
Gender
Female
Entity Type
Individual
Location Address
6161 S YALE AVE TULSA, OK 74136
Location Phone
(918) 494-5346
Mailing Address
6600 S YALE AVE SUITE 1400 TULSA, OK 74136
Mailing Phone
(918) 488-6001
Is Sole Proprietor?
No
Enumeration Date
05-11-2007
Last Update Date
08-23-2017
Code Navigator

Location Map

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

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
26603
License State
OK
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

D65347 (MD)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OK401463MEDICARE PIN (08)OK 
200214000AMEDICAID (05)OK 

Medicare Participation & PECOS Enrollment Status

Madhavi Kommareddi 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.

Unknown

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

    1 DME suppliers used 11 Medicare Claims 341 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4150)

    1 DME suppliers used 11 Medicare Claims 4521 Services Paid

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Iv pole (HCPCS:E0776)

    1 DME suppliers used 12 Medicare Claims 12 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.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 247 times for 85 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 1,087 times for 233 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 20 times for 12 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 76 times for 72 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 125 times for 120 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 74136 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $123.06
  • Minimum New Patient Price $53
  • Maximum New Patient Price $162.61
  • Average New Patient Copayment $30.76
  • Minimum New Patient Copayment $13.25
  • Maximum New Patient Copayment $40.65

Established Patients Visit Costs *

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

  • Average Established Patient Price $94.27
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $132.4
  • Average Established Patient Copayment $23.56
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $33.1

* 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.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.9, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 77.9 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 68.88

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 57.45

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 57.45

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MADHAVI KOMMAREDDI M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1770798894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714014916818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 4 + 9 + 1 + 6 + 8 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1770798894 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427053859DR. JOBST GEBHARD BLUM MD
Individual
Anesthesiology6161 S YALE AVE
TULSA, OK 74136
(918) 494-1980
1245227123DR. ETHAN WARLICK M.D.
Individual
Pediatrics6161 S YALE AVE CHUCC
TULSA, OK 74136
(918) 494-2553
1073500971DR. CARL ELLISON M.D.
Individual
Pediatrics6161 S YALE AVE CHUCC
TULSA, OK 74136
(918) 494-2553
1184601619 JOHNNY M FOWLER M.D.
Individual
Internal Medicine6161 S YALE AVE
TULSA, OK 74136
(918) 494-5346
1922075241 JAMES DAMON SMITH D.O.
Individual
Internal Medicine6161 S YALE AVE
TULSA, OK 74136
(918) 494-5346
1548222375DR. DAVID BEYNON THOMAS III M.D.
Individual
Surgery6161 S YALE AVE
TULSA, OK 74136
(918) 494-8467
1609833615EMERGENCY CARE INC.
Organization
Clinic/Center (Medical Specialty)6161 S YALE AVE ER DEPT.
TULSA, OK 74136
(918) 494-1817
1487611919 LORI JESSICA WHELAN M.D.
Individual
Emergency Medicine (Emergency Medical Services)6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-1817
1619934221 LUSTER I. JACOBS MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-6528
1255399317 JAMES J. WOLFE MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-1817
1710945878 HOWARD ROEMER MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-6528
1174581193 MARY H. THOMPSON MD
Individual
Emergency Medicine6161 S YALE AVE ER DEPT
TULSA, OK 74136
(918) 494-6528
1821056672 FRANK M. THOMAS PA
Individual
Physician Assistant6161 S YALE AVE C/O SAINT FRANCIS HOSPITAL
TULSA, OK 74136
(918) 494-6161
1811943517 KATHERINE L MCGRANAHAN C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered6161 S YALE AVE
TULSA, OK 74136
(918) 494-1980
1972542132MS. KATHRYN ANN PERRY R.N.
Individual
Clinical Nurse Specialist (Pediatrics)6161 S YALE AVE
TULSA, OK 74136
(918) 494-2200
1083658447DR. MAHMOOD HUSSAIN KHICHI M.D.
Individual
Pediatrics (Pediatric Critical Care Medicine)6161 S YALE AVE PICU
TULSA, OK 74136
(918) 502-6135
1659488005MS. REBA J. BOOTH LCSW
Individual
Social Worker (Clinical)6161 S YALE AVE ST. FRANCIS HEALTH SYSTEM
TULSA, OK 74136
(918) 695-0684
1821106550DR. ROBERT HOMER BYRD M.D.
Individual
Pathology (Pediatric Pathology)6161 S YALE AVE
TULSA, OK 74136
(918) 494-1420
1710095500DR. STEVEN NEAL SWYDEN M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)6161 S YALE AVE
TULSA, OK 74136
(918) 494-1434
1053403121MS. TONIA K VILES R.D., L.D.
Individual
Dietitian, Registered6161 S YALE AVE SAINT FRANCIS HOSPITAL, NUTRITION DEPARTMENT
TULSA, OK 74136
(918) 494-6239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770798894, enumerated in the NPI registry as an "individual" on May 11, 2007

The provider is located at 6161 S Yale Ave Tulsa, Ok 74136 and the phone number is (918) 494-5346

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $123.06 with an average copayment of $30.76 for new patient appointments. Established patients should expect a typical charge of $94.27 and an average copayment of 23.56. 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: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Initial hospital inpatient care per day, typically 50 minutes and Initial hospital inpatient care per day, typically 70 minutes.

This NPI record was last updated on May 11, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.