DR. PRATHYUSHA MADDELA (M.D.) – Nephrology Physician, NPI 1437174448
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 NEPHROLOGY in AL
Provider Addresses for DR. PRATHYUSHA MADDELA (M.D.)
522 E 11TH ST STE 200
ANNISTON, AL 362074770
Phone: (256) 237-5302
Fax: (256) 237-5368
Type: Location
522, East 11th Street, Anniston, Calhoun County, Alabama, 36207, United States
SUITE 200
ANNISTON, AL 362074770
Phone: (256) 237-5302
Fax: (256) 237-5368
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 86 Open Payments records for all available years, with a total value of $1,778.
Total Amount is formed as General ($1,778) + Research ($0) + Ownership ($0) = $1,778.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($241).
Total Amount
$1,778
General + Research + Ownership
Payments
86
Total payment records
General Amount
$1,778
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $241 |
| CALLIDITAS THERAPEUTICS US INC. | $224 |
| AKEBIA THERAPEUTICS INC | $176 |
| Fresenius USA Marketing, Inc. | $170 |
| OPKO Pharmaceuticals, LLC | $164 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061011000491 | I | Nephrology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 518 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 460 | 324 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 294 | 93 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 242 | 57 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 151 | 89 | $0 |
Insurance plans in this area (ZIP 36207)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nephrology, Internal Medicine | AL | |
| - | AL | |
| N E P H R O L O G Y | AL | |
| Nurse Practitioner | AL | |
| - | AL |
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