Soumya Madala, M.D.
NPI 1043334527 · Sleep Medicine (Internal Medicine) Physician · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Sleep Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Soumya Madala, M.D. is a Sleep Medicine (Internal Medicine) Physician provider in Grand Rapids, MI (NPI 1043334527).
Provider details
- NPI number
- 1043334527
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301085495 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
150 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Home Sleep Test (hst) With Type III Portable Monitor, Unattended; Minimum of 4 Channels: 2 Respiratory Movement/Airflow, 1 Ecg/Heart Rate and 1 Oxygen SaturationG0399 | 33 | $42 |
| Sleep Study in Sleep Lab (6 Years Or Older)95810 | 31 | $111 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 | 26 | $116 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 17 | $93 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 15 | $122 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphet Er | 26 |
| Trazodone Hcl | 20 |
| Gabapentin | 19 |
| Clonazepam | 19 |
| Pregabalin | 16 |
| Zolpidem Tartratebrand: Zolpidem Tartrate Er | 16 |
| Modafinil | 15 |
| Suvorexantbrand: Belsomra | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Frequently asked questions
- What is Soumya Madala's NPI number?
- Soumya Madala's National Provider Identifier (NPI) is 1043334527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soumya Madala's specialty?
- Soumya Madala is listed in the NPPES registry with a primary specialty of Sleep Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Soumya Madala located?
- Soumya Madala's practice location on file with NPPES is 260 Jefferson Ave Se, Grand Rapids, MI 49503-4597.
- What is Soumya Madala's phone number?
- The practice phone number listed in the NPPES registry for Soumya Madala is (616) 685-6330.
- Does Soumya Madala accept Medicare?
- Soumya Madala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Soumya Madala's NPI active?
- Yes — Soumya Madala's NPI (1043334527) is active in the NPPES registry as of the last update on 2021-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.