Individual provider Active NPI

Madhu Rajanna, M.D.

  • Child & Adolescent Psychiatry Physician
  • Mineola, NY
National Provider Identifier
1275626434
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
238321 Issued in NY
Practice address
220 Mineola Blvd Ste 8
Mineola, NY 11501-2533
Phone
(917) 470-5011
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 238321 NY Primary

Addresses

Primary practice location

220 Mineola Blvd Ste 8
Mineola, NY 11501-2533

Mailing address

220 Mineola Blvd Ste 8
Mineola, NY 11501-2533
Phone (917) 470-5011

Other identifiers 1

IdentifierTypeStateIssuer
02802326MedicaidNY

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
I20061125000002 NY Practitioner - Psychiatry 5395743595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Mineola Blvd
Suite 8
Mineola, NY 11501-2533
Phone (516) 742-0320

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Psychiatric Services, PC CurrentSince Aug 1, 2012 Accepting new patients
St John's Medical Services PC CurrentSince Oct 1, 2019 Accepting new patients
Queens Nassau Psychiatric Services PLLC PastSince Apr 1, 2021 Accepting new patients

Locations

1335 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7507

521 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 864-8822

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1275626434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MINEOLA BLVD STE 8",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012533",
            "telephone_number": "917-470-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MINEOLA BLVD STE 8",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012533",
            "telephone_number": "917-470-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJANNA",
        "first_name": "MADHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "238321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02802326",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.