Individual provider Active NPI

Manish Kumar Madan, MD

  • Gastroenterology Physician
  • Rochester, NY
National Provider Identifier
1124089370
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
172120 Issued in NY
Practice address
2440 Ridgeway Ave
Suite #100
Rochester, NY 14626-0000
Phone
(585) 720-1550
Fax
(585) 720-1553
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 172120 NY Primary

Addresses

Primary practice location

2440 Ridgeway Ave
Suite #100
Rochester, NY 14626-0000

Mailing address

2440 Ridgeway Ave
Suite #100
Rochester, NY 14626-0000
Phone (585) 720-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110715000485 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 5597746131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Rochester, LLPGroup PAC ID 1557342185, 8 clinicians

Practice addresses (Care Compare)

2440 Ridgeway Ave
Suite 100
Rochester, NY 14626-4114
Phone (585) 720-1550

Hospital & facility affiliations

  • Unity Hospital Hospital, Rochester, NY, CCN 330226
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy355
Upper gastrointestinal (GI) endoscopy for acid reflux251

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172120NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Rochester, LLP Gastroenterology CurrentSince Jul 1, 2000 Accepting new patients

Locations

2440 Ridgeway Ave
Ste 100
Rochester, NY 14626
Phone (585) 720-1550

Interoperability endpoints

  • Direct secure messaging: mmadan@rocgastro.medentdirect.com

Organizations & group practices 1

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

Hospital & facility affiliations 7

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1124089370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 RIDGEWAY AVE",
            "address_2": "SUITE #100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146260000",
            "telephone_number": "585-720-1550",
            "fax_number": "585-720-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 RIDGEWAY AVE",
            "address_2": "SUITE #100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146260000",
            "telephone_number": "585-720-1550",
            "fax_number": "585-720-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "MANISH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "172120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.