NPIMap

Individual provider Active NPI

Ram Kumar Madasu, M.D.

  • Otolaryngology Physician
  • Coral Springs, FL
National Provider Identifier
1679541445
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME85117 Issued in FL
Practice address
5511 N University Dr
Suite 101B
Coral Springs, FL 33067-4646
Phone
(954) 755-4002
Fax
(954) 755-5010
NPI assigned
Mar 9, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME85117 FL Primary
Pediatric Otolaryngology Physician 207YP0228X ME85117 FL
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X ME85117 FL

Addresses

Primary practice location

5511 N University Dr
Suite 101B
Coral Springs, FL 33067-4646

Mailing address

5511 N University Dr
Suite 101B
Coral Springs, FL 33067-4646
Phone (954) 755-4002

Other identifiers 1

IdentifierTypeStateIssuer
51399AOtherFLPIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071214000031 FL Practitioner - Otolaryngology 6204926207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Alabama College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

5511 N University Dr
Suite 101B
Coral Springs, FL 33067-4646
Phone (954) 755-4002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85117FLMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Surgical Specialists LLC CurrentSince Jun 1, 2022 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

5511 N University Dr
Ste 101B
Coral Springs, FL 33067
Phone (954) 755-4002

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 4

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 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1679541445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 N UNIVERSITY DR",
            "address_2": "SUITE 101B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674646",
            "telephone_number": "954-755-4002",
            "fax_number": "954-755-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 N UNIVERSITY DR",
            "address_2": "SUITE 101B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674646",
            "telephone_number": "954-755-4002",
            "fax_number": "954-755-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADASU",
        "first_name": "RAM",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME85117",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME85117",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME85117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "51399A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.