Individual provider Active NPI

Madhu Unnikrishnan, MBBS

  • Hematology & Oncology Physician
  • Palm Coast, FL
National Provider Identifier
1093093619
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
82510 Issued in WI
Practice address
61 Memorial Medical Pkwy Ste 2818
Palm Coast, FL 32164-5999
Phone
(386) 586-2889
Fax
(386) 286-2890
NPI assigned
Jul 31, 2011
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 78123 AZ
Hematology & Oncology Physician 207RH0003X MD61116309 WA
Medical Oncology Physician 207RX0202X 14498 ND
Hematology & Oncology Physician 207RH0003X 82510 WI Primary
Medical Oncology Physician 207RX0202X ME159209 FL
Internal Medicine Physician 207R00000X 123669 OH
Hematology (Internal Medicine) Physician 207RH0000X 14498 ND
Hematology (Internal Medicine) Physician 207RH0000X ME159209 FL

Addresses

Primary practice location

61 Memorial Medical Pkwy Ste 2818
Palm Coast, FL 32164-5999

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 432-8500

Other practice location 1

212 E Central Ave Ste 315
Spokane, WA 99208-6290
Phone (509) 474-3568

Other practice location 2

831 S Broadway
Minot, ND 58701
Phone (701) 857-3535

Other practice location 3

225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 364-3600

Other practice location 4

130 2nd St
Neenah, WI 54956-2883
Phone (920) 364-3600

Other practice location 5

2375 S Ridgeview Dr
Yuma, AZ 85364-8868
Phone (928) 317-2518

Other identifiers 1

IdentifierTypeStateIssuer
115729300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, AZ, NM, KY, MT6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20141210001432 OH Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8022330612 Reassigns benefits to 3 organizations
I20250123003831 TX Practitioner - Internal MedicinePractitioner - Hematology/Oncology 8022330612 Reassigns benefits to 1 organization
I20250915002544 AZ Practitioner - Hematology/Oncology 8022330612 Reassigns benefits to 1 organization
I20251212000550 NM Practitioner - Internal MedicinePractitioner - Hematology/Oncology 8022330612 Reassigns benefits to 1 organization
I20260303002169 KY Practitioner - Hematology/Oncology 8022330612 Reassigns benefits to 1 organization
I20260528004538 MT Practitioner - Hematology/Oncology 8022330612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 415-7653

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123669OHMDInternal Medicine Physician
ME159209FLMDHematology (Internal Medicine) Physician
MD61116309WAMDHematology & Oncology Physician
82510WIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jan 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Multi-Specialty Current Accepting new patients
PHC-Las Cruces Inc Multi-Specialty Current Accepting new patients
Yuma Regional Medical Center Multi-Specialty CurrentSince Aug 7, 2025 Accepting new patients
PHC Las Cruces Multi-Specialty CurrentSince Oct 3, 2025 Accepting new patients
Yuma Regional Medical Center Multi-Specialty CurrentSince Aug 7, 2025 Accepting new patients
University Hospitals Medical Group Inc Multi-Specialty CurrentSince Jan 1, 2017 Accepting new patients
The Metrohealth System Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Multi-Specialty CurrentSince Feb 17, 2026 Accepting new patients
PHC Las Cruces Inc Multi-Specialty CurrentSince Oct 3, 2025 Accepting new patients
Baptist Health Medical Group Inc Multi-Specialty CurrentSince Feb 17, 2026 Accepting new patients

Locations

2375 S Ridgeview Dr
Yuma, AZ 85364
Phone (928) 317-2518

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2530 S Telshor Blvd
Ste 201
Las Cruces, NM 88011
Phone (505) 521-1554

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Interoperability endpoints

  • Direct secure messaging: munnikrishnan94677@direct.metrohealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1093093619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-432-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY STE 2818",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645999",
            "telephone_number": "386-586-2889",
            "fax_number": "386-286-2890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 E Central Ave Ste 315",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992086290",
            "country_code": "US",
            "telephone_number": "509-474-3568",
            "fax_number": "509-227-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "58701",
            "country_code": "US",
            "telephone_number": "701-857-3535",
            "fax_number": "701-857-5171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "WI",
            "postal_code": "549231243",
            "country_code": "US",
            "telephone_number": "920-364-3600",
            "fax_number": "920-362-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-364-3600",
            "fax_number": "920-362-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2375 S Ridgeview Dr",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648868",
            "country_code": "US",
            "telephone_number": "928-317-2518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNNIKRISHNAN",
        "first_name": "MADHU",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-31",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "78123",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD61116309",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ND",
            "license": "14498",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "82510",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME159209",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "123669",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "ND",
            "license": "14498",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME159209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115729300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.