UPASANA MADAN
NPI 1104321702
Obstetrics & Gynecology in Horsham, PA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
118 WELSH RD, HORSHAM, PA 19044(215) 657-8430 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, Mar 26, 2018 (2 updates tracked since 2018).

About Upasana Madan NPPES

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

UPASANA MADAN (NPI 1104321702) is an individual obstetrics & gynecology provider in Horsham, Pennsylvania, licensed in Pennsylvania (MD478704) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1104321702
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameUPASANA MADAN
Location Address118 WELSH RDHorsham, PA 19044-2242
Mailing Address118 Welsh RdHorsham, PA 19044-2242
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 26, 2022
NPI 1104321702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD478704
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
118 WELSH RD, Horsham, PA 19044

Secondary Practice Location 1

Location 1150 Bergen StNewark, NJ 07103-2496 · Phone (732) 586-4938

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

Upasana Madan 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 ID1052788312
PECOS Enrollment IDI20221031001300, I20251217001568, I20251217001978
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
39 services39 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.
25 services25 patients
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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
118 WELSH RD
HORSHAM, PA 19044
Nurse Practitioner (Family)
118 WELSH RD
HORSHAM, PA 19044
Family Medicine
118 WELSH RD
HORSHAM, PA 19044

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 Upasana Madan's NPI number?

The NPI number for Upasana Madan is 1104321702. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Upasana Madan located?

Upasana Madan practices at 118 Welsh Rd, Horsham, PA 19044. The listed phone number is (215) 657-8430.

What is Upasana Madan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Upasana Madan enrolled in Medicare?

Yes. Upasana 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.

Is Upasana Madan affiliated with any hospitals?

According to CMS data, Upasana Madan is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Upasana Madan was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.