Active NPI
Madhav C Menon, MD
- Nephrology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 67045
- Practice address
- Yale Physicians Building
800 Howard Ave, Ste 4TH Floor
New Haven, CT 06520 - Phone
- (203) 737-1204
- Fax
- (203) 785-4184
- NPI assigned
- Aug 1, 2008
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 272162 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 67045 | CT | Primary |
Addresses
Primary practice location
Yale Physicians Building
800 Howard Ave, Ste 4TH Floor
New Haven, CT 06520
Mailing address
PO Box 208029
New Haven, CT 06520-8029
Phone (203) 785-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
- Yale-New Haven Hospital
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67045 | CT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
800 Howard Ave
Ste 4TH
New Haven, CT 06519
Phone (203) 737-1204
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
Interoperability endpoints
- mmenon511101@direct.ynhh.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.
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1659537439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208029",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208029",
"telephone_number": "203-785-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YALE PHYSICIANS BUILDING",
"address_2": "800 HOWARD AVE, STE 4TH FLOOR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06520",
"telephone_number": "203-737-1204",
"fax_number": "203-785-4184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENON",
"first_name": "MADHAV",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2021-02-08",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "272162",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "67045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.