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KINJAL S. MADHAV M.D.
NPI 1124385182
Family Medicine - Sleep Medicine in Carlsbad, CA

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment
78.79/100
CMS Quality Rating
6010 HIDDEN VALLEY RD STE 200, CARLSBAD, CA 92011(760) 631-3000(760) 270-9534 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, Nov 20, 2024, Apr 25, 2024 and 4 more (7 updates tracked since 2019).

About Kinjal S. Madhav M.d. NPPES

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

KINJAL S. MADHAV M.D. (NPI 1124385182) is an individual sleep medicine provider in Carlsbad, California, licensed in California (132338) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1124385182
Entity TypeIndividualFemale
Primary Taxonomy207QS1201X
Provider Legal NameKINJAL S. MADHAVCredential: M.D.
Location Address6010 HIDDEN VALLEY RD STE 200Carlsbad, CA 92011-4219
Mailing Address6010 Hidden Valley Rd Ste 200Carlsbad, CA 92011-4219 · (760) 631-3000 · Fax (760) 270-9534
Phone(760) 631-3000
Fax(760) 270-9534
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 16, 2012
Last NPPES UpdateSeptember 10, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1124385182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS1201X
License✔ Licensed in CA · 132338
Definition
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
6010 HIDDEN VALLEY RD STE 200, Carlsbad, CA 92011
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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

Kinjal S. Madhav 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 ID3870881923
PECOS Enrollment IDI20161005002416
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 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 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.
335 services250 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.
221 services172 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
116 services116 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
105 services101 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
67 services67 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.
65 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92011 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

78.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability80
Improvement Activities40
Cost61.75

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers405 claims405 services$31.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers188 claims188 services$68.70 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers179 claims471 services$27.48 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers126 claims685 services$14.68 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers224 claims1,238 services$12.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers381 claims381 services$43.56 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.

NORTH COUNTY NEUROLOGY ASSOCIATES MEDICAL GROUP
Psychiatry & Neurology (Neurology)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000
STEPHANIE KATIE HUANG ,PA-C
Physician Assistant
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000
DR. ANCHI WANG M.D.
Psychiatry & Neurology (Neurology)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000
JULIENNE MICHELLE BAUGH
Nurse Practitioner (Family)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000
KRISTY SCHROLL PA
Physician Assistant (Medical)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000
DR. REMIA PADUGA MD
Psychiatry & Neurology (Neurology)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000
DR. BRENTON ALAN WRIGHT MD
Psychiatry & Neurology (Neurology)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000
LAURA LYNN KURISU DESADIER D.O.
Psychiatry & Neurology (Neurology)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 92011
San Diego County (760) 631-3000

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 Kinjal Madhav's NPI number?

The NPI number for Kinjal Madhav is 1124385182. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Kinjal Madhav located?

Kinjal Madhav practices at 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011. The listed phone number is (760) 631-3000.

What is Kinjal Madhav's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sleep Medicine, with taxonomy code 207QS1201X.

Is Kinjal Madhav enrolled in Medicare?

Yes. Kinjal Madhav 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.

When was this NPI record last updated?

The NPPES record for Kinjal Madhav was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.