| Dr Soumya Chowdary Madala, MD | |
|
260 Jefferson Ave Se, Ste 300, Grand Rapids, MI 49503-4597 | |
| (616) 685-6330 | |
| (616) 685-3010 |
| Full Name | Dr Soumya Chowdary Madala |
|---|---|
| Gender | Female |
| Speciality | Sleep Medicine |
| Experience | 23 Years |
| Location | 260 Jefferson Ave Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043334527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301085495 (Michigan) | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 4301085495 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health Saint Mary's | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Partners Sub-specialty Services | 3274504105 | 30 |
| Advantage Health/saint Mary's Medical Group | 4082807961 | 448 |
| Entity Name | Mercy Health Partners Sub-specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124042700 PECOS PAC ID: 3274504105 Enrollment ID: O20040804000803 |
| Entity Name | Advantage Health/saint Mary's Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279 |
| Entity Name | Trinity Health Grand Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942379284 PECOS PAC ID: 0648180794 Enrollment ID: O20121113000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Soumya Chowdary Madala, MD 245 State St Se, Ste 228, Grand Rapids, MI 49503-4328 Ph: (616) 685-1808 | Dr Soumya Chowdary Madala, MD 260 Jefferson Ave Se, Ste 300, Grand Rapids, MI 49503-4597 Ph: (616) 685-6330 |
Maureen Tan Pedres, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503 Phone: 616-391-3139 Fax: 616-391-3044 | |
Jeffery Allen Woo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Wealthy St Se, Ste 150, Grand Rapids, MI 49506 Phone: 616-459-3158 Fax: 616-988-0071 | |
Robert W Selfe, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne, Suite 200, Grand Rapids, MI 49503 Phone: 616-267-8950 Fax: 616-267-8585 | |
Dr. Erin Megan Pettijohn, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503 Phone: 616-685-5600 | |
Dr. Andrew Leo Sochacki, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546 Phone: 616-389-1800 | |
Aline De Quadros Teixeira, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3139 | |
Stephanie F Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Michigan St Ne, Suite 5200, Grand Rapids, MI 49503 Phone: 616-486-5933 Fax: 616-486-6489 |