Dr. Mahmoud Madi
- Gender: Male
- Experience: 7 years
- Graduation year: 2014
- Sole propriator: No
- NPI: 1346692597
Dr. Mahmoud Madi M.D.
Internist
He is located at 1301 West 38th Street Suite 315 in Austin, TX 78705. Can help patients with the following: Chest Pain, Cholecystitis, Cystitis, Hyponatremia, Influenza, Peptic Ulcer. His National Provider Identifier (NPI) number is 1346692597. Appointment can be made via the phone number (512) 324-7831. He is affiliated with 1 practices and 1 hospitals.
Conditions treated
Dr. Mahmoud Madi, being an internist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Mahmoud Madi.
- Abdominal Pain
- Acute Pain
- Anemia
- Arthritis
- Asthma
- Atherosclerosis
- Bladder Control
- Chest Pain
- Cholecystitis
- Chronic Obstructive Pulmonary Disease (COPD)
- Common Cold
- Constipation
- Cystitis
- Diarrhea
- Edema
- Fever
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Influenza
- Inguinal Hernia
- Migraine
- Nausea and Vomiting
- Obesity
- Osteoporosis
- Peptic Ulcer
- Prescription Refill
- Urethritis
- Urinary Tract Infection (UTI)
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Mahmoud Madi as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete Gold | EPO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options | EPO · Silver | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Everyday Gold | EPO · Gold | Preferred | Accepting new patients |
| Everyday Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Focused Silver | EPO · Silver | Preferred | Accepting new patients |
| Focused Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 19 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
Harbor Health
Network data as of Sep 14, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Harbor Health G0 $0 Deductible $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health G1S $30 PCP $30 Mental Health Office Visit $30 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health S1 $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Silver | Preferred | Accepting new patients |
| Harbor Health S1S $40 PCP $40 Mental Health Office Visit $40 Express Care | HMO · Silver | Preferred | Accepting new patients |
Moda Health Plan, Inc.
Network data as of Sep 12, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Bronze HDHP 7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Standard Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Moda Select Texas Standard Silver | EPO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic | EPO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard | EPO · Gold | Preferred | Accepting new patients |
| Gold Elite | EPO · Gold | Preferred | Accepting new patients |
| Silver Classic | EPO · Silver | Preferred | Accepting new patients |
| Silver Classic Standard | EPO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | EPO · Silver | Preferred | Accepting new patients |
Sendero Health Plans, Local Nonprofit
Network data as of Sep 14, 2026, as reported by the insurer.
Show all 14 plans from Sendero Health Plans, Local Nonprofit
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Mahmoud Madi is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Mahmoud Madi is enrolled to bill Medicare as a Practitioner - Hospitalist (also registered under: Practitioner - Internal Medicine) .
Bills through: Sound Physicians Of Illinois Llc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Allergan | $28 |
Other
| Food and Beverage | $29 |
Studies
Graduated in 2014
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Questions & Answers
What conditions does Dr. Mahmoud Madi treat?
Dr. Mahmoud Madi provides treatment for Chest Pain, Cholecystitis, Cystitis, Hyponatremia, Influenza, Peptic Ulcer. For the full list see this list.
Has Dr. Mahmoud Madi affiliation with hospitals?
Dr. Mahmoud Madi is affiliated with UNIVERSITY OF KANSAS HOSPITAL.
Does Dr. Mahmoud Madi accept insurance?
Dr. Mahmoud Madi is listed in-network for 66 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit. See the Marketplace plans section for details.
Where can you meet with Dr. Mahmoud Madi?
Dr. Mahmoud Madi's office is located at 1301 West 38th Street Suite 315 in Austin, TX 78705.
Does Dr. Mahmoud Madi have affiliation with practices?
Dr. Mahmoud Madi is affiliated with Tufts Medical Center.