Active NPI
Murthy S Madhira, M.D.
- Gastroenterology Physician
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301064434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4477042 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmadhira27277@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Promedica Toledo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 137 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301064434 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Monroe Physicians | Current | 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
- mmadhira27277@direct.promedica.org
- 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.
-
- Certified Registered Nurse Anesthetist
- Saint Joseph, MI
- NPI 1053382572
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.