DR. SRINIVASA RAGHAVAN MADHAVAN M.D.
NPI 1043566607
Internal Medicine in Fargo, ND

Q: What is Srinivasa Madhavan's NPI number?

The NPI number for Srinivasa Madhavan is 1043566607. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Q: What is Srinivasa Madhavan's specialty?

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

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment

801 BROADWAY N, FARGO, ND 58102(701) 234-5933 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Srinivasa Raghavan Madhavan M.d. NPPES

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

DR. SRINIVASA RAGHAVAN MADHAVAN M.D. (NPI 1043566607) is an individual internal medicine provider in Fargo, North Dakota, licensed in North Dakota (13694) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Centennial, and is a graduate of University Of North Dakota School Of Medicine (2015).

NPPES Registry Identity

NPI1043566607

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SRINIVASA RAGHAVAN MADHAVANCredential: M.D.

Location Address801 BROADWAY NFargo, ND 58102-3641

Mailing AddressPo Box 2168Fargo, ND 58107-2168 · (701) 234-2119

Phone(701) 234-5933

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2015

Enumeration DateJuly 31, 2012

Last NPPES UpdateJune 20, 2023

NPPES CertifiedJune 20, 2023

✔ NPI 1043566607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ND · 13694

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

801 BROADWAY N, Fargo, ND 58102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Dr. Srinivasa Raghavan Madhavan 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 ID3173838356

PECOS Enrollment IDI20170816000784

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 Reassignment

Medicare enrollment records show Srinivasa Madhavan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthtexas Provider Network

953 mi

Family Medicine

5717 LEGACY DR STE 180
Plano, TX 75024

Reassigned Medicare billing, Texas enrollment
3,167 clinicians in this Medicare group

NPI 1124809512 (888) 663-6331

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

Areas of Expertise CMS Part B claims 4

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.

367 services160 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.

150 services144 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.

103 services72 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.

100 services99 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450885

Location12505 Lebanon RoadFrisco, TX 75035 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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…

90%198 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 2

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

2 suppliers14 claims14 services$15.44 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

2 suppliers14 claims14 services$66.97 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.

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