Madhusudan Vallala M.D., S.c.
NPI 1609177005 · Cardiovascular Disease Physician · Jacksonville, IL
Madhusudan Vallala M.D., S.c. is a Cardiovascular Disease Physician organization in Jacksonville, IL (NPI 1609177005).
Provider details
- NPI number
- 1609177005
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sue Vallala, Office Manager(217) 245-8712
- License
- 036053208 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-16
- Last updated
- 2010-11-16
Frequently asked questions
- What is Madhusudan Vallala M.D., S.c.'s NPI number?
- Madhusudan Vallala M.D., S.c.'s National Provider Identifier (NPI) is 1609177005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Madhusudan Vallala M.D., S.c.?
- Madhusudan Vallala M.D., S.c. is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Madhusudan Vallala M.D., S.c. located?
- Madhusudan Vallala M.D., S.c.'s practice location on file with NPPES is 1515 W Walnut St, Jacksonville, IL 62650-1150.
- What is Madhusudan Vallala M.D., S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Madhusudan Vallala M.D., S.c. is (217) 245-8712.
- Who is the authorized official for Madhusudan Vallala M.D., S.c.?
- The authorized official listed on Madhusudan Vallala M.D., S.c.'s NPPES record is Sue Vallala, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Madhusudan Vallala M.D., S.c.'s NPI active?
- Yes — Madhusudan Vallala M.D., S.c.'s NPI (1609177005) is active in the NPPES registry as of the last update on 2010-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.