Individual provider Active NPI

Ashima Madan, MD

  • Pediatrics Physician
  • Mountain View, CA
National Provider Identifier
1346397536
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A44142 Issued in CA
Practice address
525 South Dr
Suite 201
Mountain View, CA 94040-4213
Phone
(650) 968-8891
NPI assigned
Jan 3, 2007
Last updated
Mar 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A44142 CA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X A44142 CA

Addresses

Primary practice location

525 South Dr
Suite 201
Mountain View, CA 94040-4213

Mailing address

525 South Dr
Suite 201
Mountain View, CA 94040-4213
Phone (650) 968-8891

Other identifiers 1

IdentifierTypeStateIssuer
00A441420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170816004540 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1850498650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44142CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
Sutter West Bay Medical Foundation Pediatrics Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amadan229275@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJAEBA/Endpoint/HJAEBA

Organizations & group practices 6

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1346397536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR",
            "address_2": "SUITE 201",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404213",
            "telephone_number": "650-968-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR",
            "address_2": "SUITE 201",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404213",
            "telephone_number": "650-968-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "ASHIMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A44142",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A44142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A441420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.