Organization Active NPI

Rajesh Madan, MD, PC

  • Internal Medicine Physician
  • Hilliard, OH
National Provider Identifier
1720103005
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAJESH MADAN, MD, PC
Practice address
4531 Cemetery Rd
Hilliard, OH 43026-1102
Phone
(614) 527-8787
Fax
(614) 527-7287
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Rajesh Madan, MDNPI 1942201165
Title
President
Phone
(614) 527-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4531 Cemetery Rd
Hilliard, OH 43026-1102

Mailing address

4531 Cemetery Rd
Hilliard, OH 43026-1102
Phone (614) 527-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000247 OH Part B Supplier - Clinic/Group Practice 6901901099 Receives reassigned benefits from 2 practitioners
Practice locations: Hilliard, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1010602Rajesh Madan MD PC4531 Cemetery Rd, Hilliard, OH 43026Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

4531 Cemetery Rd
Hilliard, OH 43026
Phone (614) 527-8787

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBIDAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1720103005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-527-8787",
            "fax_number": "614-527-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261102",
            "telephone_number": "614-527-8787",
            "fax_number": "614-527-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJESH MADAN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "MADAN",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-527-8787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.