Individual provider Active NPI

Anand Madan, M.D.

  • Gastroenterology Physician
  • Roseville, CA
National Provider Identifier
1366418006
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A93947 Issued in CA
Practice address
4 Medical Plaza Dr Ste 205
Roseville, CA 95661-2815
Phone
(916) 773-6200
Fax
(916) 782-4550
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 A93947 CA Primary

Addresses

Primary practice location

4 Medical Plaza Dr Ste 205
Roseville, CA 95661-2815

Mailing address

4 Medical Plaza Dr Ste 205
Roseville, CA 95661-2815
Phone (916) 773-6200

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ13842ZOtherCACARMICHAEL
ZZZ13841ZOtherCAROSEVILLE
ZZZ43589ZOtherCASUBMITTER ID

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
I20090209000617 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 6709878960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capitol Gastroenterology Consultants Medical Group IncGroup PAC ID 2365429008, 6 clinicians

Practice addresses (Care Compare)

4 Medical Plaza Dr
Suite 205
Roseville, CA 95661-2815

568 N Sunrise Ave
Suite 330
Roseville, CA 95661-3097
Phone (916) 773-6200

6555 Coyle Ave
Suite 330
Carmichael, CA 95608-0303
Phone (916) 965-9650

685 Twelve Bridges Dr
Suite D
Lincoln, CA 95648-8689
Phone (916) 773-6200

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Merit-based Incentive Payment System (MIPS)

Final score
90.4 of 100Reported as group
Quality
83.55
Promoting interoperability
100
Improvement activities
40
Cost
84.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy199
Upper gastrointestinal (GI) endoscopy for acid reflux123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93947CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Gastroenterology CurrentSince Jan 15, 2009 Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 15, 2009 Accepting new patients
Capitol Gastroenterology Consultants Medical Group, Inc. Gastroenterology CurrentSince Jan 21, 2010 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

6555 Coyle Ave
Ste 330
Carmichael, CA 95608
Phone (916) 965-3702

568 N Sunrise Ave
Ste 330
Roseville, CA 95661
Phone (916) 773-6200

4 Medical Plaza Dr
Ste 205
Roseville, CA 95661
Phone (916) 773-6200

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

Organizations & group practices 9

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 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1366418006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEDICAL PLAZA DR STE 205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612815",
            "telephone_number": "916-773-6200",
            "fax_number": "916-782-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL PLAZA DR STE 205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612815",
            "telephone_number": "916-773-6200",
            "fax_number": "916-782-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "ANAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A93947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARMICHAEL",
            "identifier": "ZZZ13842Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROSEVILLE",
            "identifier": "ZZZ13841Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID",
            "identifier": "ZZZ43589Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.