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DR. MADHU UNNIKRISHNAN MBBS
NPI 1093093619
Internal Medicine - Hematology & Oncology in Palm Coast, FL

Active since July 31, 2011PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
61 MEMORIAL MEDICAL PKWY STE 2818, PALM COAST, FL 32164(386) 586-2889(386) 286-2890 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2025, Dec 14, 2022, Oct 7, 2022 and 2 more (5 updates tracked since 2017).

About Dr. Madhu Unnikrishnan Mbbs NPPES

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

DR. MADHU UNNIKRISHNAN MBBS (NPI 1093093619) is an individual hematology & oncology provider in Palm Coast, Florida, licensed in Wisconsin (82510) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1093093619
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MADHU UNNIKRISHNANCredential: MBBS
Location Address61 MEMORIAL MEDICAL PKWY STE 2818Palm Coast, FL 32164-5999
Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 432-8500
Phone(386) 586-2889
Fax(386) 286-2890
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 31, 2011
Last NPPES UpdateAugust 7, 20255 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1093093619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in WI · 82510✔ Licensed in AZ · 78123✔ Licensed in WA · MD61116309
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 123669 (OH)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 14498 (ND), ME159209 (FL)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 14498 (ND), ME159209 (FL)
61 MEMORIAL MEDICAL PKWY STE 2818, Palm Coast, FL 32164
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1212 E Central Ave Ste 315Spokane, WA 99208-6290 · Phone (509) 474-3568 · Fax (509) 227-7070
Location 2831 S BroadwayMinot, ND 58701 · Phone (701) 857-3535 · Fax (701) 857-5171
Location 3225 Memorial DrBerlin, WI 54923-1243 · Phone (920) 364-3600 · Fax (920) 362-3900
Location 4130 2nd StNeenah, WI 54956-2883 · Phone (920) 364-3600 · Fax (920) 362-3900
Location 52375 S Ridgeview DrYuma, AZ 85364-8868 · Phone (928) 317-2518

Other Identifiers 1

Medicaid115729300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and more.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. Madhu Unnikrishnan Mbbs 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 ID8022330612
PECOS Enrollment IDI20250915002544, I20260303002169
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

9

Medicare enrollment records show Madhu Unnikrishnan reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
629 mi
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1093338527 (270) 737-0077
North East Ohio Group Practice LLC
821 mi
Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
NPI 1063575462 (440) 542-5000
Community Hospitalist, LLC
827 mi
Hospitalist
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 325 clinicians in this Medicare group
NPI 1538236872 (440) 960-4000
University Hospitals Medical Group Inc
830 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
Texas Tech University Health Sciences Center Lubbock
1,246 mi
Anatomic Pathology
3601 4TH ST STE 1A115
Lubbock, TX 79430
  • Reassigned Medicare billing, Texas enrollment
  • 685 clinicians in this Medicare group
NPI 1063461358 (806) 743-2155
Phc Las Cruces Inc.
1,526 mi
Specialist
2450 S TELSHOR BLVD, STE E
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 71 clinicians in this Medicare group
NPI 1497069397 (575) 556-5800
Intermountain Medical Group Grand Junction, LLC
1,597 mi
Neurological Surgery
711 N TAYLOR ST
Gunnison, CO 81230
  • Reassigned Medicare billing, Colorado enrollment
  • 438 clinicians in this Medicare group
NPI 1710591508 (970) 642-4803
Yuma Regional Medical Center
1,987 mi
General Acute Care Hospital
2400 S AVE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 557 clinicians in this Medicare group
NPI 1194706655 (928) 344-2000
Scl Health Medical Group-Butte LLC
2,028 mi
Rural Health
214 S MAIN ST
Boulder, MT 59632
  • Reassigned Medicare billing, Montana enrollment
  • 278 clinicians in this Medicare group
NPI 1861031122 (406) 225-4201

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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
373 services177 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
177 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services72 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
79 services79 patients
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.
55 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320018
Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County
Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers12 claims21 services$24.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Madhu Unnikrishnan's NPI number?

The NPI number for Madhu Unnikrishnan is 1093093619. It was assigned to this individual provider in the NPPES registry on July 31, 2011.

Where is Madhu Unnikrishnan located?

Madhu Unnikrishnan practices at 61 Memorial Medical Pkwy Ste 2818, Palm Coast, FL 32164. The listed phone number is (386) 586-2889.

What is Madhu Unnikrishnan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Madhu Unnikrishnan enrolled in Medicare?

Yes. Madhu Unnikrishnan 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 Madhu Unnikrishnan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhu Unnikrishnan reassigns Medicare benefits to 9 organizations: Baptist Health Medical Group Inc (Elizabethtown, KY), North East Ohio Group Practice LLC (Middleburg Heights, OH), Community Hospitalist, LLC (Lorain, OH), University Hospitals Medical Group Inc (Cleveland, OH), Texas Tech University Health Sciences Center Lubbock (Lubbock, TX) and 4 more organizations, listed in the Medicare section above. 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 Madhu Unnikrishnan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhu Unnikrishnan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and Cigna HealthCare of Arizona, Inc and 4 other insurers list Madhu Unnikrishnan 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 Madhu Unnikrishnan affiliated with any hospitals?

According to CMS data, Madhu Unnikrishnan is affiliated with Cleveland Clinic Indian River Hospital, Baptist Health Paducah, Memorial Medical Center and Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Madhu Unnikrishnan was last updated on August 7, 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.