Individual provider Active NPI

Valsa Madhava, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1992820930
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
190822-1 Issued in NY
Practice address
15 E 40TH St RM 201
New York, NY 10016-0408
Phone
(646) 397-5988
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 190822 NY
Internal Medicine Physician 207R00000X 190822-1 NY Primary

Addresses

Primary practice location

15 E 40TH St RM 201
New York, NY 10016-0408

Mailing address

15 E 40TH St RM 201
New York, NY 10016-0408
Phone (646) 397-5988

Other practice location 1

50 Sagamore Rd Apt A9
Bronxville, NY 10708-1543
Phone (646) 450-3504

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vmadhava@brainbodymedical.com Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070626000656 NY Practitioner - Internal Medicine 5698874006 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
190822NYMDAddiction Medicine (Family Medicine) Physician
190822-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC CurrentSince Jan 1, 2019 Accepting new patients
Symphony Medical PC CurrentSince Jan 1, 2019 Accepting new patients
North General Physician Services PLLC Internal Medicine PastSince Jul 1, 2006 Accepting new patients
St. John'S Riverside Hospital Past Accepting new patients

Locations

2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7300

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1992820930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 40TH ST RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160408",
            "telephone_number": "646-397-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 40TH ST RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160408",
            "telephone_number": "646-397-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Sagamore Rd Apt A9",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107081543",
            "country_code": "US",
            "telephone_number": "646-450-3504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADHAVA",
        "first_name": "VALSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "190822",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190822-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmadhava@brainbodymedical.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "csv",
            "address_1": "15 E 40th St Rm 201",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100160408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.