Sushma Madala
Internal Medicine Physician · Scranton, PA
Sushma Madala is an internal medicine physician with a practice address in Scranton, Pennsylvania, and NPI 1437530003, issued on Jun 9, 2015. Check the license (Pennsylvania MT209306, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Sushma Madala
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- MT209306 PA
0101263825 VA
Self-reported in NPPES; status is on the state search - Practice location
- 501 Madison Avenue, Scranton, PA 18510
- Phone
- (570) 343-2383
- Enumerated
- Jun 9, 2015
- Record last updated
- Aug 8, 2022
- Medicare enrollment
- Enrolled (PECOS I20190319002964); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 7,300 in Pennsylvania → Look up another NPI →
Also registered at 501 Madison Avenue
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Steven ArchambaultFamily Medicine Physician1649772195
- Zoya Effendi, M.D.Internal Medicine Physician1700232907
- Inderjit Kaur, M.D.Internal Medicine Physician1003294877
- Prasanthi Limgala, M.DInfectious Disease Physician1952757221
- Payal Rabadiya, M.DHospitalist Physician1558804211
- Shiraz Saleem, D.O.Internal Medicine Physician1255786711
Verify Sushma Madala in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MT209306Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average internal medicine physician in 2024
382 Medicare Part D claims for 181 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 25 claims were for opioids.
Most prescribed
- Amoxicillin-Clavulanate Potass18 claims
- Cephalexin17 claims
- Prednisone16 claims
- Pantoprazole Sodium15 claims
- Eliquis13 claims
- Furosemide13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 56.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $21.51
1 payment: food and beverage; the largest payer was Ceribell, Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Vituity-Virginia Hospitalists PCMidlothian, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sushma Madala among 7,300 internal medicine physician records in Pennsylvania
Sushma Madala is one of 7,300 internal medicine physician records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 62% of them.
- NPI issued2015 · 62% of these records are older, 35% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2007 · median 2008 among the 4,208 with a school on file
- Record last updated2022 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
129 internal medicine physician records list a practice address in Scranton
They are 129 of the 2,695 NPPES records with a practice address in Scranton, and 7,300 internal medicine physician records in Pennsylvania.
All 7,300 in Pennsylvania → Every provider in Scranton → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Michael Alocci, MDDunmore, PA 185101487634531
- John Diakiw, MDScranton, PA 185101245208081
- Leon Goliger, M.D.Scranton, PA 185101912005802
- John Guzek, MDScranton, PA 185101861460545
- Philip Huffman, M.D.Scranton, PA 185101568434041
- Yitzchok Kurtzer, MDScranton, PA 185101154321891
- Julie Marvania, MDScranton, PA 185101437244100
- Mary Ann McDonald, M.D.Dunmore, PA 185101730143603
Common questions
What is Sushma Madala's NPI number?
Sushma Madala's National Provider Identifier (NPI) is 1437530003, issued on Jun 9, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Sushma Madala located?
The NPPES record lists a practice address at 501 Madison Avenue, Scranton, PA, 18510. Phone: (570) 343-2383. Providers update this record themselves, so call before visiting.
How can I verify Sushma Madala's license?
NPPES lists Pennsylvania license number MT209306, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sushma Madala prescribe under Medicare Part D?
In 2024, Sushma Madala had 382 Medicare Part D claims for 181 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Sushma Madala's MIPS final score?
The 2023 MIPS final score is 56.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.