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

About SETHU M. MADHAVAN MD

Sethu Madhavan is an internist established in Columbus, Ohio and his medical specialization is Internal Medicine with a focus in nephrology with more than 21 years of experience. The NPI number of this provider 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.

NPI
1003015850
Provider Name SETHU M. MADHAVAN MD
Location Address300 W 10TH AVE COLUMBUS, OH 43210
Location Phone(614) 293-3387
Mailing Address700 ACKERMAN RD STE 2120 COLUMBUS, OH 43202
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2002
Is Sole Proprietor?No
Enumeration Date07-12-2007
Last Update Date12-18-2020

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 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.



Primary Taxonomy

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.

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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

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

Business Address

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

Get Directions


Mailing Address

700 ACKERMAN RD STE 2120
COLUMBUS, OH
ZIP 43202
Phone: (614) 293-3387


Location Map

PECOS Enrollment and Medicare Participation Status

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)

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 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

What is Sethu Madhavan MD NPI number?

The NPI number assigned to this healthcare provider is 1003015850, registered as an "individual" on July 12, 2007

Where is Sethu Madhavan MD located?

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

Which is Sethu Madhavan MD specialty?

The provider's speciality is Internal Medicine with a focus in Nephrology

How many years of experience does Sethu Madhavan MD have?

The provider has more than 21 years of experience.

What insurance does Sethu Madhavan MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Sethu Madhavan MD registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.

What are some of the services provided by Sethu Madhavan MD?

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

How do I update my NPI information?

The NPI record of Sethu Madhavan MD 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]