Individual provider Active NPI

Ujjwal Madan, M.D.

  • Rheumatology Physician
  • Columbus, OH
National Provider Identifier
1699411645
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
57.259265 Issued in OH
Practice address
Ohio State University
Twelfth Ave, 395 W
Columbus, OH 43210
Phone
(614) 366-5445
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2022016448 MO
Student in an Organized Health Care Education/Training Program 390200000X MO
Rheumatology Physician 207RR0500X 57.259265 OH Primary

Addresses

Primary practice location

Ohio State University
Twelfth Ave, 395 W
Columbus, OH 43210

Mailing address

Ohio State University
Twelfth Ave, 395 W
Columbus, OH 43210
Phone (614) 366-5445

Other practice location 1

2301 Holmes Street, University Health Truman Medical Ce
Kansas City, MO 64108
Phone (816) 404-0957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220825002078 MO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1052795028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022016448MOMDInternal Medicine Physician
57.259265OHMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: umadan457416@direct.saint-lukes.org

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1699411645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OHIO STATE UNIVERSITY",
            "address_2": "TWELFTH AVE, 395 W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-366-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OHIO STATE UNIVERSITY",
            "address_2": "TWELFTH AVE, 395 W",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-366-5445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes Street, University Health Truman Medical Ce",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64108",
            "country_code": "US",
            "telephone_number": "816-404-0957",
            "fax_number": "816-404-0003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADAN",
        "first_name": "UJJWAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022016448",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "57.259265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.