| Madhusudan R Malladi, MD | |
|
1036 W Stephenson St, Freeport, IL 61032-4865 | |
| (815) 599-6000 | |
| Not Available |
| Full Name | Madhusudan R Malladi |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 49 Years |
| Location | 1036 W Stephenson St, Freeport, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376515064 | NPI | - | NPPES |
| 036088380 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036088380 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Javon Bea Hospital | Rockford, IL | Hospital |
| Mercyhealth Fhn Hospital | Freeport, IL | Hospital |
| Saint Anthony Medical Center | Rockford, IL | Hospital |
| Mercyhealth Hospital & Physician Clinic-crystal La | Crystal lake, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeport Regional Health Care Foundation | 9234041682 | 86 |
| Freeport Memorial Hospital | 8426958232 | 168 |
| Rockford Health Physicians | 2567374036 | 520 |
| Mercy Health System Corporation | 7416860440 | 749 |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Freeport Regional Health Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457337016 PECOS PAC ID: 9234041682 Enrollment ID: O20031104000182 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | Mercy Harvard Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1427001445 PECOS PAC ID: 6204729577 Enrollment ID: O20081103000092 |
| Mailing Address | Practice Location Address |
|---|---|
| Madhusudan R Malladi, MD 1045 W Stephenson St, Freeport, IL 61032-4899 Ph: (815) 599-6000 | Madhusudan R Malladi, MD 1036 W Stephenson St, Freeport, IL 61032-4865 Ph: (815) 599-6000 |
Robert Geller, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000 |
Mr. Eugene Michael Gaertner, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1036 W Stephenson St, Freeport, IL 61032 Phone: 815-599-7410 |
Dr. Renu Dosi, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7740 Fax: 815-599-7650 |
Arshad Rashid Shaikh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1163 W Stephenson St, Freeport, IL 61032 Phone: 815-599-7000 Fax: 815-599-7091 |
Diana Carol Mcnulty, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7880 |
Dr. Anwer Rasheed, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-6000 Fax: 815-599-7769 |
Syed Sohaib Nasim, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1045 W Stephenson St, Freeport, IL 61032 Phone: 815-599-6000 |