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RAKESH MAKADIA M.D
NPI 1013201458
Internal Medicine in Rockville, MD

Active since June 02, 2011PECOS EnrolledAccepts Medicare Assignment
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850(240) 826-6000 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rakesh Makadia M.d NPPES

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

RAKESH MAKADIA M.D (NPI 1013201458) is an individual internal medicine provider in Rockville, Maryland, licensed in Maryland (78355) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1013201458
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAKESH MAKADIACredential: M.D
Location Address9901 MEDICAL CENTER DRRockville, MD 20850-3357
Mailing Address9901 Medical Center DrRockville, MD 20850-3357 · (240) 826-6000
Phone(240) 826-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 2, 2011
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1013201458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · 78355
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 78355 (MD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9901 MEDICAL CENTER DR, Rockville, MD 20850
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Secondary Practice Location 1

Location 1506 6th StBrooklyn, NY 11215-3609 · Phone (718) 780-5246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Rakesh Makadia M.d 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 ID7113149071
PECOS Enrollment IDI20141107001335, I20250409003923
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 7

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.
598 services276 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
278 services134 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
226 services220 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services38 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
34 services34 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.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA
OwnershipProprietary
CMS Certification Number490097
Location727 North Main StreetEmporia, VA 23847 · Emporia City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%299 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$14.36 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier24 claims24 services$776.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$68.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LOGAN HEWITT LMSW LGSM
Social Worker
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
DR. SHERRY CHANG PHARM.D.
Pharmacist (Pharmacotherapy)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (301) 294-0612
MESFIN WOLDESENBET M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-7392
FABIAN PADRON PA-C
Physician Assistant (Surgical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
SANDRA ST JEAN
Counselor (Professional)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6000
DR. ANUJA RASTOGI M.D.
Pediatrics
9901 MEDICAL CENTER DR, PEDIATRIC FLOOR
ROCKVILLE, MD 20850
Montgomery County (240) 826-6480
NICOLE MARIE EDWARDS PA-C
Physician Assistant (Medical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (586) 703-4476
DR. CLAUDIA GLORIA LARES ROMERO MD
Pediatrics (Pediatric Emergency Medicine)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Montgomery County (240) 826-7550

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 Rakesh Makadia's NPI number?

The NPI number for Rakesh Makadia is 1013201458. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Rakesh Makadia located?

Rakesh Makadia practices at 9901 Medical Center Dr, Rockville, MD 20850. The listed phone number is (240) 826-6000.

What is Rakesh Makadia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rakesh Makadia enrolled in Medicare?

Yes. Rakesh Makadia 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 Rakesh Makadia accept?

Health plans from Molina Healthcare list Rakesh Makadia 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 Rakesh Makadia affiliated with any hospitals?

According to CMS data, Rakesh Makadia is affiliated with Adventist Healthcare Shady Grove Medical Center and Bon Secours Southern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Rakesh Makadia was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.