Active NPI
Madhusudanan Nair, MD
- Vascular Surgery Physician
- Pittsburgh, PA
National Provider Identifier
1922090943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 031789L
- Practice address
- 4506 Penn Ave
FL 2
Pittsburgh, PA 15224-1314 - Phone
- (412) 621-3125
- Fax
- (412) 621-2303
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 031789L | PA | Primary |
Addresses
Primary practice location
4506 Penn Ave
FL 2
Pittsburgh, PA 15224-1314
Mailing address
4506 Penn Ave
FL 2
Pittsburgh, PA 15224-1314
Phone (412) 621-3125
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65714 | Other | PA | AETNA |
| P00226766 | Other | PA | RAILROAD MEDICARE |
| 001014987-0003 | Medicaid | PA | |
| NA1740208 | Other | PA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031789L | PA | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1922090943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4506 PENN AVE",
"address_2": "FL 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241314",
"telephone_number": "412-621-3125",
"fax_number": "412-621-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4506 PENN AVE",
"address_2": "FL 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241314",
"telephone_number": "412-621-3125",
"fax_number": "412-621-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "MADHUSUDANAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "031789L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "65714",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00226766",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001014987-0003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NA1740208",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.