SETHU M. MADHAVAN MD
NPI 1003015850
Internal Medicine - Nephrology in Columbus, OH

NPI Status: Active since July 12, 2007

Contact Information

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

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  • Individual
  • Male
  • Years of Experience 22
  • Internal Medicine
  • Nephrology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About SETHU MADHAVAN

Sethu Madhavan is an internist established in Columbus, Ohio and his medical specialization is Internal Medicine with a focus in nephrology with more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1003015850 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 3 years ago.

NPI
1003015850
Provider Name
SETHU M. MADHAVAN MD
Gender
Male
Entity Type
Individual
Location Address
300 W 10TH AVE COLUMBUS, OH 43210
Location Phone
(614) 293-3387
Location Fax
(614) 366-0073
Mailing Address
700 ACKERMAN RD STE 2120 COLUMBUS, OH 43202
Mailing Phone
(614) 293-3387
Medical School Name
OTHER
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
07-12-2007
Last Update Date
12-18-2020
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An internist like Sethu Madhavan 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 registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
35.122245
License State
OH
Taxonomy Description
An 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Silver - HMO
    • CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
    • CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Silver - HMO
    • CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Gold - HMO
    • CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Low Premium Silver - HMO
    • CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Silver - HMO
  • Molina Healthcare

    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with first 4 free PCP or MH visits - HMO
    • Silver 8 - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

PECOS Enrollment and Medicare Participation Status

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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981838810

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20131009000844

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 17

    Hemodialysis procedure with one physician evaluation (HCPCS:90935)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
OHIO STATE UNIVERSITY STATE HEALTH SYSTEM410 WEST 10TH AVENUE
COLUMBUS, OH 43210
(614) 293-9700Acute Care Hospitals

Reviews for SETHU M. MADHAVAN MD

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NPI Validation Check Digit Calculation


The following table explains the step by step 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
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
1578723961MS. MARGARET SUSAN LUCAS P.A.-C
Individual
Physician Assistant300 W 10TH AVE B305 STARLING LOVING HALL
COLUMBUS, OH 43210
(614) 293-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015850, enumerated in the NPI registry as an "individual" on July 12, 2007

The provider is located at 300 W 10th Ave Columbus, Oh 43210 and the phone number is (614) 293-3387

The provider's speciality is Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider has more than 22 years of experience.

The provider might be accepting Accepts: CareSource, Molina Healthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

The most common procedures or services performed by this practitioner are: Hemodialysis procedure with one physician evaluation.

The practitioner is affiliated to the following hospital(s): OHIO STATE UNIVERSITY STATE HEALTH SYSTEM. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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