NPIMap

Individual provider Active NPI

Rajesh Madan, MD

  • Internal Medicine Physician
  • Hilliard, OH
National Provider Identifier
1942201165
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
072849 Issued in OH
Practice address
4531 Cemetery Rd
Hilliard, OH 43026-1102
Phone
(614) 527-8787
Fax
(614) 527-7287
NPI assigned
Aug 10, 2005
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 072849 OH 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

Other identifiers 3

IdentifierTypeStateIssuer
0254442MedicaidOH
000000108670OtherINBLUE SHIELD REID HOSP EKG
200107490MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070619000236 OH Practitioner - Internal Medicine 1759486822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rajesh Madan MD PCGroup PAC ID 6901901099, 2 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072849OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh Madan, MD, PC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Major Hospital Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients
Westland Family Care LLC PastSince Jun 1, 2007 Accepting new patients
Reid Hospital & Health Care Services Inc Internal Medicine Past Accepting new patients

Locations

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

Interoperability endpoints

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1942201165",
    "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": {
        "last_name": "MADAN",
        "first_name": "RAJESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "072849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254442",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD REID HOSP EKG",
            "identifier": "000000108670",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200107490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.