SETHU M. MADHAVAN MD NPI 1003015850

Internal Medicine (Nephrology) in Columbus, OH

NPI 1003015850 Individual Male Years of Experience 20 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for SETHU M. MADHAVAN MD

Sethu Madhavan is an internal medicine provider established in Columbus, Ohio and his medical specialization is internal medicine (nephrology) with more than 20 years of experience. The NPI number of Sethu Madhavan is 1003015850 and was assigned on July 2007. The practitioner's primary taxonomy code is 207RN0300X with license number 35.122245 (OH). The provider is registered as an individual and his NPI record was last updated 2 years ago.

An internist like Sethu M. Madhavan Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Sethu Madhavan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Sethu Madhavan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ohio State University State Health System.

NPI

1003015850

Provider Name SETHU M. MADHAVAN MD
Provider Location Address300 W 10TH AVE COLUMBUS, OH 43210
Provider Mailing Address700 ACKERMAN RD STE 2120 COLUMBUS, OH 43202
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-12-2007
Last Update Date12-18-2020


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.35.122245
License StateOH
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

SETHU M. MADHAVAN MD
300 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-3387
Fax: (614) 366-0073

Get Directions


Mailing Address

SETHU M. MADHAVAN MD
700 ACKERMAN RD STE 2120
COLUMBUS, OH
ZIP 43202
Phone: (614) 293-3387



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID4981838810
PECOS Enrollment IDI20131009000844
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 42Hemodialysis procedure with one physician evaluation (HCPCS:90935)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sethu Madhavan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
OHIO STATE UNIVERSITY STATE HEALTH SYSTEM410 WEST 10TH AVENUE
COLUMBUS, OH 43210
(614) 293-9700Acute Care Hospitals360085

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0091357MEDICAID (05)OH

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015850
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 8 + 1 + 0 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003015850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982602363DR. WILLIAM GRESS KRAYBILL JR. M.D.
Individual
Surgery (Surgical Oncology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-7171
1730145368MR. CHAD ALLEN WALKER PAC
Individual
Physician Assistant300 W 10TH AVE
COLUMBUS, OH 43210
(614) 366-7594
1174580278 MARK W WURSTER MD
Individual
Internal Medicine (Hematology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-8619
1437189537DR. DAVID EDWARD SCHULLER M.D.
Individual
Otolaryngology (Facial Plastic Surgery)300 W 10TH AVE SUITE 521B
COLUMBUS, OH 43210
(614) 293-4878
1134153778DR. CHRISTOPHER E PELLOSKI M.D.
Individual
Radiology (Radiation Oncology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-8415
1669488565 MICHAEL A. CALIGIURI M.D.
Individual
Internal Medicine (Hematology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-8619
1710994280 THOMAS E. OLENCKI D.O.
Individual
Internal Medicine (Medical Oncology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-8619
1053328500 THOMAS S. LIN M.D.
Individual
Internal Medicine (Hematology & Oncology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 947-3700
1821005380 RICHARD R. LOVE M.D.
Individual
Internal Medicine (Hematology & Oncology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 798-7905
1851491468 RAMIRO GARZON M.D.
Individual
Internal Medicine (Hematology)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-8619
1396833166 SUSANNE VENDLINSKI RN, CNS
Individual
Clinical Nurse Specialist (Oncology)300 W 10TH AVE JAMES 824
COLUMBUS, OH 43210
(614) 293-2598
1427173111MS. TRUDY LEE HAMILTON NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)300 W 10TH AVE RM 004
COLUMBUS, OH 43210
(614) 366-2330
1477672830MRS. JENNIFER LYNN GLATZ MS, RN, CNP
Individual
Nurse Practitioner (Family)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-9775
1952421976 HEATHER MARIE BROM CNP
Individual
Nurse Practitioner (Adult Health)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 366-3776
1679785489 DARETH NICOLE-MCCOY GILMORE CNP
Individual
Nurse Practitioner (Adult Health)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-0423
1851595664 JON MICKLE NP
Individual
Nurse Practitioner (Adult Health)300 W 10TH AVE 004 JAMES
COLUMBUS, OH 43210
(614) 293-3285
1992909535MISS CARLI NICOLE GREENFIELD ACNP
Individual
Nurse Practitioner (Acute Care)300 W 10TH AVE 004
COLUMBUS, OH 43210
(614) 366-2337
1962608208DR. GRETCHEN ANNE MCNALLY CNP
Individual
Nurse Practitioner (Adult Health)300 W 10TH AVE
COLUMBUS, OH 43210
(614) 366-8676
1851591176 JOHN MICHAEL PRICKETT PA-C
Individual
Physician Assistant300 W 10TH AVE RM 004
COLUMBUS, OH 43210
(614) 293-2543
1255522546MRS. KAREN SUE WILLIAMS PA
Individual
Physician Assistant300 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-4632

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Sethu M. Madhavan Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.