Active NPI
Ujjwal Madan, M.D.
- Rheumatology Physician
- Columbus, OH
National Provider Identifier
1699411645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 57.259265
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825002078 | MO | Order and Referring Only - Internal Medicine | 1052795028 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022016448 | MO | MD | Internal Medicine Physician |
| 57.259265 | OH | MD | Rheumatology Physician |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.