Individual provider Active NPI

Vinay Madan, MD

  • Vascular & Interventional Radiology Physician
  • Wilton, CT
National Provider Identifier
1003826140
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
40375 Issued in CT
Practice address
35 Danbury Rd Ste 9
Wilton, CT 06897-4444
Phone
(203) 762-6365
Fax
(203) 763-6367
NPI assigned
Aug 9, 2006
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 040375 CT
Vascular & Interventional Radiology Physician 2085R0204X 40375 CT Primary
Phlebology Physician 202K00000X 40375 CT

Addresses

Primary practice location

35 Danbury Rd Ste 9
Wilton, CT 06897-4444

Mailing address

35 Danbury Rd Ste 9
Wilton, CT 06897-4444
Phone (203) 762-6365

Other identifiers 2

IdentifierTypeStateIssuer
1403758MedicaidCT
P01395182OtherCTMEDICARE RAILROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090205000300 CT Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8921018375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Danbury Rd
Suite 9
Wilton, CT 06897-4444
Phone (860) 997-7498

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040375CTMDDiagnostic Radiology Physician
40375CTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Varicose Veins, LLC Vascular & Interventional Radiology CurrentSince May 19, 2020 Accepting new patients
Affiliates in Women's Care LLC Past Accepting new patients
Wilton Vascular Medical Group PC PastSince Sep 25, 2019 Accepting new patients
Evergreen Imaging Center, LLC Past Accepting new patients

Locations

309 Stillson Rd
#2
Fairfield, CT 06825
Phone (203) 366-8700

35 Danbury Rd
Wilton, CT 06897
Phone (203) 529-5521

35 Danbury Rd
Ste 9
Wilton, CT 06897
Phone (203) 762-6365

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1003826140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DANBURY RD STE 9",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974444",
            "telephone_number": "203-762-6365",
            "fax_number": "203-762-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DANBURY RD STE 9",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974444",
            "telephone_number": "203-762-6365",
            "fax_number": "203-763-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "VINAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "040375",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "40375",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CT",
            "license": "40375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1403758",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P01395182",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

Verify at the official NPI Registry.