NPIMap

Individual provider Active NPI

Madhu Menon, MD

  • Family Medicine Physician
  • Newport, PA
National Provider Identifier
1396706131
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD061440L Issued in PA
Practice address
300 Bretz CT Ste 100
Newport, PA 17074-8615
Phone
(717) 567-3174
Fax
(717) 703-0018
NPI assigned
Mar 31, 2006
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD061440L PA Primary

Addresses

Primary practice location

300 Bretz CT Ste 100
Newport, PA 17074-8615

Mailing address

409 S 2ND St Ste 2C
Harrisburg, PA 17104-1612
Phone (717) 231-8867

Other identifiers 7

IdentifierTypeStateIssuer
001692743MedicaidPA
P967510OtherPAGATEWAY
860303OtherPAAETNA
ME967510OtherPAHIGHMARK BLUE SHIELD
080137007OtherPARAIL ROAD MEDICARE
1136775OtherPAFIRST HEALTH
0228002OtherPAKEYSTONE

Other names 1

  • Tekkepatte Madhusudan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmenon5904@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000408 PA Practitioner - Family Practice 5799724811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

300 Bretz CT
Newport, PA 17074-8614
Phone (717) 567-3174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 1, 1999 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Jan 1, 1999 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Transitions Healthcare Allens Cove, LLC Past Accepting new patients
Capitol Operator LLC Past Accepting new patients

Locations

4400 Carlisle Pike
Camp Hill, PA 17011
Phone (717) 975-9800

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

300 Bretz Ct
Newport, PA 17074
Phone (717) 567-7246

300 Bretz Ct
Ste 100
Newport, PA 17074
Phone (717) 567-3174

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Transitions Healthcare Allens CoveDuncannon, PA, CCN 395915 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Jan 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1396706131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2C",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-231-8867",
            "fax_number": "717-221-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRETZ CT STE 100",
            "city": "NEWPORT",
            "state": "PA",
            "postal_code": "170748615",
            "telephone_number": "717-567-3174",
            "fax_number": "717-703-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "MADHU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD061440L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001692743",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P967510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "860303",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "ME967510",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080137007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1136775",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0228002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmenon5904@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "300 Bretz Ct Ste 100",
            "city": "Newport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170748615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TEKKEPATTE",
            "last_name": "MADHUSUDAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, PA

Sources for this page

Verify at the official NPI Registry.