Individual provider Active NPI

Murthy S Madhira, M.D.

  • Gastroenterology Physician
  • Monroe, MI
National Provider Identifier
1477525913
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301064434 Issued in MI
Practice address
1066 N Monroe St
Monroe, MI 48162-3113
Phone
(734) 240-4870
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 4301064434 MI Primary

Addresses

Primary practice location

1066 N Monroe St
Monroe, MI 48162-3113

Mailing address

1066 N Monroe St
Monroe, MI 48162-3113
Phone (734) 240-4870

Other identifiers 1

IdentifierTypeStateIssuer
4477042MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmadhira27277@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040227000810 MI Practitioner - Gastroenterology 2264328921 Reassigns benefits to 1 organization
I20191218002497 OH Practitioner - Gastroenterology 2264328921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Monroe PhysiciansGroup PAC ID 2365696176, 64 clinicians

Practice addresses (Care Compare)

100 Powell Dr
Suite 2
Dundee, MI 48131-8645
Phone (734) 529-5900

2121 Hughes Dr
Suite 310
Toledo, OH 43606-3845
Phone (419) 291-3858

Hospital & facility affiliations

  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy137
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301064434MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Monroe Physicians CurrentSince Nov 1, 2019 Accepting new patients
Sunset Coast Anesthesia Associates PC Past Accepting new patients

Locations

100 Powell Dr
Ste 2
Dundee, MI 48131
Phone (734) 240-4290

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

1066 N Monroe St
Monroe, MI 48162
Phone (734) 240-4870

750 Stewart Rd
Ste 3
Monroe, MI 48162
Phone (734) 240-4870

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2121 Hughes Dr
#310
Toledo, OH 43606
Phone (419) 291-3858

Interoperability endpoints

  • Direct secure messaging: mmadhira27277@direct.promedica.org
  • Direct secure messaging: mmadhira301083@direct.hfhs.org

Organizations & group practices 2

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 4

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1477525913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-240-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHIRA",
        "first_name": "MURTHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301064434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4477042",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmadhira27277@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.