Durga Maddineni, MD - Medicare Family Practice in Sunnyside, NY

Durga Maddineni, MD is a medicare enrolled "Family Medicine" physician in Sunnyside, New York. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. Her current practice location is 4543 43rd St, Sunnyside, New York. You can reach out to her office (for appointments etc.) via phone at (718) 392-2220.

Durga Maddineni is licensed to practice in New York (license number 227095) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548209943.

Contact Information

Durga Maddineni, MD
4543 43rd St,
Sunnyside, NY 11104-2609
(718) 392-2220
(718) 392-1777

Map and Direction




Physician's Profile

Full NameDurga Maddineni
GenderFemale
SpecialityFamily Practice
Experience35 Years
Location4543 43rd St, Sunnyside, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Durga Maddineni graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1548209943
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3678565801
  • Enrollment ID: I20040330001455

Medical Identifiers

Medical identifiers for Durga Maddineni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548209943NPI-NPPES
02462119MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 227095 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Durga Maddineni allows following entities to bill medicare on her behalf.
Entity Name43rd St Family Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194830265
PECOS PAC ID: 2860499860
Enrollment ID: O20061106000266

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Durga Maddineni is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Durga Maddineni, MD
4543 43rd St,
Sunnyside, NY 11104-2609

Ph: (718) 392-2220
Durga Maddineni, MD
4543 43rd St,
Sunnyside, NY 11104-2609

Ph: (718) 392-2220

Reviews and Comments


Family Medicine Doctors in Sunnyside, NY

Vijay Chadderwala, D.O.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 4724 Greenpoint Ave, Sunnyside, NY 11104
Phone: 516-783-4600    
Loredana Ladogana, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4543 43rd St, Sunnyside, NY 11104
Phone: 718-392-2220    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.