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 Address | 300 W 10TH AVE COLUMBUS, OH 43210 |
| Location Phone | (614) 293-3387 |
| Mailing Address | 700 ACKERMAN RD STE 2120 COLUMBUS, OH 43202 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-12-2007 |
| Last Update Date | 12-18-2020 |
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 Code | 207RN0300X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Nephrology |
| 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. |
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
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 ID | 4981838810 |
| PECOS Enrollment ID | I20131009000844 |
| 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 Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 |
|---|---|---|
| 0091357 | MEDICAID (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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 5 | 8 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 10 | 8 | 10 | |
| 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 |
|---|---|---|---|
| 1982602363 | DR. WILLIAM GRESS KRAYBILL JR. M.D. Individual | Surgery (Surgical Oncology) | 300 W 10TH AVE COLUMBUS, OH 43210 (614) 293-7171 |
| 1730145368 | MR. CHAD ALLEN WALKER PAC Individual | Physician Assistant | 300 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 |
| 1437189537 | DR. DAVID EDWARD SCHULLER M.D. Individual | Otolaryngology (Facial Plastic Surgery) | 300 W 10TH AVE SUITE 521B COLUMBUS, OH 43210 (614) 293-4878 |
| 1134153778 | DR. 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 |
| 1427173111 | MS. TRUDY LEE HAMILTON NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 300 W 10TH AVE RM 004 COLUMBUS, OH 43210 (614) 366-2330 |
| 1477672830 | MRS. 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 |
| 1992909535 | MISS CARLI NICOLE GREENFIELD ACNP Individual | Nurse Practitioner (Acute Care) | 300 W 10TH AVE 004 COLUMBUS, OH 43210 (614) 366-2337 |
| 1962608208 | DR. 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 Assistant | 300 W 10TH AVE RM 004 COLUMBUS, OH 43210 (614) 293-2543 |
| 1255522546 | MRS. KAREN SUE WILLIAMS PA Individual | Physician Assistant | 300 W 10TH AVE COLUMBUS, OH 43210 (614) 293-4632 |
| 1578723961 | MS. MARGARET SUSAN LUCAS P.A.-C Individual | Physician Assistant | 300 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]