Santhosh Madhavan, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4301050998 Issued in MI

Practice address

26900 Franklin Rd
Southfield, MI 48033-5312

Phone

(248) 350-8070

Fax

(248) 350-8078

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physical Medicine and Rehabilitation

Education

Wayne State University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
• Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smadhava@direct.dmc.org
• Direct secure messaging: smadhavan61301@direct.hfhs.org

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.

• VHS Physicians of Michigan

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1073827101
  Medicare reassignment Care Compare group NPD
• Henry Ford Health System

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Detroit, MI
  • NPI 1023170115
  Medicare reassignment NPD
• Michigan Sports and Spine Center PC

  • Physical Medicine & Rehabilitation Physician
  • Livonia, MI
  • NPI 1205887262
  Medicare reassignment NPD
• Pro-Health Medical Midland Inc

  • Urgent Care Clinic/Center
  • Midland, MI
  • NPI 1558840587
  Medicare reassignment NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• Great Lakes Physiatrists PC

  • Physical Medicine & Rehabilitation Physician
  • St Clair Shores, MI
  • NPI 1811096548
  NPD (past)
• Henry Ford Semi Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Novi, MI
  • NPI 1114133485
  NPD (past)

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

• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1134144801
  Care Compare affiliation
• VHS Detroit Receiving Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1619289998
  Care Compare affiliation

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1124131479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30206 HICKORY LN",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480252308",
            "telephone_number": "248-761-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 FRANKLIN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335312",
            "telephone_number": "248-350-8070",
            "fax_number": "248-350-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHAVAN",
        "first_name": "SANTHOSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301050998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25-0F34274-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BCN",
            "identifier": "2506334501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4149829",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaley Madden
• Aaron W Maddox, M.D.
• Rukia Madey
• Victoria Madgy
• Arti Madhavan, MD
• Norma Dozier Madison, PSY.D.
• Taqueisha Madison
• Luis Gaspar Maduro Jr., M.D.
• Maecenas Health Systems PC
• Joy Anne Maedel

• Physical Medicine & Rehabilitation Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.