Manoj Venkat Maddali, MD in Atlanta, GA - Medicare Internal Medicine

Manoj Venkat Maddali, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Atlanta, Georgia. His current practice location is 275 Collier Rd Nw Ste 300, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 350-0009.

Manoj Venkat Maddali is licensed to practice in Georgia (license number 104968) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679963391.

Contact Information

	Manoj Venkat Maddali, MD
	275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740
	(404) 350-0009
	Not Available

Map and Direction

Physician's Profile

Full Name	Manoj Venkat Maddali
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	275 Collier Rd Nw Ste 300, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679963391
Provider Enumeration Date: 02/02/2015
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 7113349762
Enrollment ID: I20200626002085

Medical Identifiers

Medical identifiers for Manoj Venkat Maddali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679963391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	104968 (Georgia)	Secondary
207R00000X	Internal Medicine	A159406 (California)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	A159406 (California)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	104968 (Georgia)	Primary
207RP1001X	Internal Medicine - Pulmonary Disease	A159406 (California)	Secondary

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. Manoj Venkat Maddali allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760552343 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	University Healthcare Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760531198 PECOS PAC ID: 6305748799 Enrollment ID: O20040126000292

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Manoj Venkat Maddali 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 Address	Practice Location Address
Manoj Venkat Maddali, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Manoj Venkat Maddali, MD 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 Ph: (404) 350-0009

Reviews and Comments

Internal Medicine Doctors in Atlanta, GA

Khadeja Jamilia Johnson, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290
Dr. Matthew J. Wilson, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553
Dr. Shannon Walker Ike, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000
Kajal Patel, M.D, M.P.H Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700
Dr. Earl Stewart Jr., M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950
Mary E. Bergh, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464
John J Doran, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne Bldg A, The Emory Clinic - Nephrology, Atlanta, GA 30322 Phone: 404-778-5380

Manoj Venkat Maddali, MD - Medicare Internal Medicine in Atlanta, GA