NANDINI MADAN MD
NPI 1013967934
Pediatrics - Pediatric Cardiology in Philadelphia, PA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
160 E ERIE AVE, PHILADELPHIA, PA 19134(484) 628-1324 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nandini Madan Md NPPES

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

NANDINI MADAN MD (NPI 1013967934) is an individual pediatric cardiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD-066991L) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1013967934
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameNANDINI MADANCredential: MD
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1013967934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in PA · MD-066991L
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License MD066991L (PA)
160 E ERIE AVE, Philadelphia, PA 19134

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nandini Madan 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 ID4082743018
PECOS Enrollment IDI20170615001874
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nandini Madan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
  • Also billed through NPI 1972299741 (New Jersey)
  • 479 clinicians in this Medicare group
Specialist
200 TRENTON RD
Browns Mills, NJ 08015
  • Reassigned Medicare billing, New Jersey enrollment
  • 222 clinicians in this Medicare group
Specialist
200 TRENTON RD
Browns Mills, NJ 08015
  • Reassigned Medicare billing, New Jersey enrollment
  • 77 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134

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 Nandini Madan's NPI number?

The NPI number for Nandini Madan is 1013967934. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Nandini Madan located?

Nandini Madan practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (484) 628-1324.

What is Nandini Madan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Nandini Madan enrolled in Medicare?

Yes. Nandini Madan 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.

Which organizations bill Medicare for Nandini Madan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nandini Madan reassigns Medicare benefits to 3 organizations: Stc Pediatrics LLC (Philadelphia, PA), Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, NJ) and Deborah Cardiovascular Group, P.C. (Browns Mills, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nandini Madan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nandini Madan accept?

Health plans from Oscar Health list Nandini Madan 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.

When was this NPI record last updated?

The NPPES record for Nandini Madan was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.