ATUL K MADAN MD A MEDICAL CORPORATION
NPI 1053689679
Surgery in Costa Mesa, CA
About Atul K Madan Md A Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATUL K MADAN MD A MEDICAL CORPORATION (NPI 1053689679) is a healthcare organization registered as a surgery in Costa Mesa, California and active in the NPI registry since December 2011. The organization lists Atul K Madan, Surgeon, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Atul K Madan Md A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Atul K Madan MD A Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Atul K Madan MD A Medical Corporation's NPI number?
The NPI number for Atul K Madan MD A Medical Corporation is 1053689679. It was assigned to this organization in the NPPES registry on December 9, 2011.
Where is Atul K Madan MD A Medical Corporation located?
Atul K Madan MD A Medical Corporation is located at 3420 Bristol St Ste 700, Costa Mesa, CA 92626. The listed phone number is (213) 973-2263.
What is Atul K Madan MD A Medical Corporation's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Atul K Madan MD A Medical Corporation enrolled in Medicare?
Yes. Atul K Madan MD A Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Atul K Madan MD A Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Atul K Madan MD A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Atul K Madan MD A Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Atul K Madan MD A Medical Corporation was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Atul K Madan Md A Medical Corporation · NPI 1053689679
Surgery organization in Costa Mesa, California. Organization record, active in the CMS NPPES registry since December 9, 2011.
## Identity
- **NPI:** 1053689679 (Entity type: Organization)
- **Enumerated:** December 9, 2011
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Atul Madan, SURGEON
## Practice location
- **Address:** 3420 BRISTOL ST STE 700, Costa Mesa, CA 92626-7137
- **Phone:** (213) 973-2263 · **Fax:** (866) 933-0664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1053689679) · Data from the CMS NPPES public registry.