Sudha G Madabhushi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A70492 Issued in CA

Practice address

304 W Latham Ave
Hemet, CA 92543-4016

Phone

(951) 925-7179

Fax

(951) 925-7027

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Sudha G Madabhushi MD Inc

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1215021936
  Medicare reassignment NPD Authorized official
• Hemet Valley Medical Center

  • General Acute Care Hospital
  • Hemet, CA
  • NPI 1508939349
  NPD (past)
• Menifee Valley Medical Center

  • General Acute Care Hospital
  • Sun City, CA
  • NPI 1881781482
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1902990641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434016",
            "telephone_number": "951-925-7179",
            "fax_number": "951-925-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434016",
            "telephone_number": "951-925-7179",
            "fax_number": "951-925-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADABHUSHI",
        "first_name": "SUDHA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A704920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yen M. Ma, O.D.
• Nicolette Maccanico
• Bianca Maria Macias Encinas
• Nayeli Macias
• Yvonne R. Mackey, PHARMD
• Megan Ashley Madrigal, CPHT
• Nicole Magpiongbejarano
• Mustafa Mahdavy, M.D.
• Mai-Ching Chien M.D.
• Gargi Maity, MD

• Internal Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.

Verify at the official NPI Registry.