Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elizabeth Maddela, MD

Individual provider Internal Medicine Physician · NPI 1043272719

Dr. Elizabeth Maddela, MD is an Internal Medicine in Staten Island, New York. Qualified in 1979, 47 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 32-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
47
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

476 Klondike Ave
Staten Island, NY 10314-6216
Phone: (718) 761-1156
Fax: (718) 761-1047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 155116 (NY)

Record details

NPI number1043272719
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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