Active NPI
Madhavan V. Pillai, M.D.
- Medical Oncology Physician
- Philadelphia, PA
National Provider Identifier
1366440455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD439889
- Practice address
- 925 Chestnut Street
Suite 320a
Philadelphia, PA 19107-4216 - Phone
- (215) 955-8874
- Fax
- (215) 955-2340
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0101032256 | VA | |
| Medical Oncology Physician | 207RX0202X | MD439889 | PA | Primary |
| Medical Oncology Physician | 207RX0202X | M13436 | ID |
Addresses
Primary practice location
925 Chestnut Street
Suite 320a
Philadelphia, PA 19107-4216
Mailing address
925 Chestnut Street
Suite 320a
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804601000 | Medicaid | WV | |
| 0232939 | Medicaid | NJ | |
| 1024928750001 | Medicaid | PA | |
| 005853877 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101032256 | VA | MD | Hematology & Oncology Physician |
| M13436 | ID | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Oncology Care, P.C. | Medical Oncology | Past | Accepting new patients |
Interoperability endpoints
- madhavan.pillai.p1@direct.collom-carney.nextgenshare.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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1366440455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 CHESTNUT STREET",
"address_2": "SUITE 320A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074216",
"telephone_number": "215-955-8874",
"fax_number": "215-955-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CHESTNUT STREET",
"address_2": "SUITE 320A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074216",
"telephone_number": "215-955-8874",
"fax_number": "215-955-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLAI",
"first_name": "MADHAVAN",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101032256",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "PA",
"license": "MD439889",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "ID",
"license": "M13436",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1804601000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0232939",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024928750001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005853877",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.