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

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
300 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3387(614) 366-0073 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sethu M. Madhavan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SETHU M. MADHAVAN MD (NPI 1003015850) is an individual nephrology provider in Columbus, Ohio, licensed in Ohio (35.122245) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1003015850
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSETHU M. MADHAVANCredential: MD
Location Address300 W 10TH AVEColumbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3387
Fax(614) 366-0073
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 12, 2007
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
NPI 1003015850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 35.122245
Definition
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.
300 W 10TH AVE, Columbus, OH 43210

Other Identifiers 1

Medicaid0091357OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sethu M. Madhavan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981838810
PECOS Enrollment IDI20131009000844
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
110 services58 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
48 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
24 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
300 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Urology
300 W 10TH AVE, 1ST FLOOR
COLUMBUS, OH 43210
Neurological Surgery
300 W 10TH AVE
COLUMBUS, OH 43210
Urology
300 W 10TH AVE
COLUMBUS, OH 43210
Psychiatry & Neurology (Vascular Neurology)
300 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology & Oncology)
300 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sethu Madhavan's NPI number?

The NPI number for Sethu Madhavan is 1003015850. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Sethu Madhavan located?

Sethu Madhavan practices at 300 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-3387.

What is Sethu Madhavan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sethu Madhavan enrolled in Medicare?

Yes. Sethu Madhavan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sethu Madhavan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Sethu Madhavan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sethu Madhavan affiliated with any hospitals?

According to CMS data, Sethu Madhavan is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Sethu Madhavan was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.