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VENKATESH VASANTHA MADHAV MD
NPI 1144274341
Internal Medicine in Plano, TX

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
5040 TENNYSON PKWY, PLANO, TX 75024(469) 476-7810(469) 574-7840 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Jul 22, 2021, Feb 19, 2020 and 1 more (4 updates tracked since 2019).

About Venkatesh Vasantha Madhav Md NPPES

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

VENKATESH VASANTHA MADHAV MD (NPI 1144274341) is an individual internal medicine provider in Plano, Texas, licensed in Texas (L2436) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1144274341
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVENKATESH VASANTHA MADHAVCredential: MD
Location Address5040 TENNYSON PKWYPlano, TX 75024-3002
Mailing Address5040 Tennyson PkwyPlano, TX 75024-3002 · (469) 476-7810 · Fax (469) 574-7840
Phone(469) 476-7810
Fax(469) 574-7840
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 20, 2006
Last NPPES UpdateNovember 2, 20224 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1144274341 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 TX · L2436
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 ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License L2436 (TX), 44245 (TN)
5040 TENNYSON PKWY, Plano, TX 75024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

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

Venkatesh Vasantha Madhav Md 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 ID4981687050
PECOS Enrollment IDI20040609001521
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 5

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 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.
137 services72 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.
136 services76 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
25 services25 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.
24 services16 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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…
76%603 patients3/55-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 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers11 claims11 services$49.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers13 claims13 services$14.28 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers16 claims16 services$40.73 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
5 suppliers25 claims25 services$60.86 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.28 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$17.10 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 4

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

PHIL BOME
Nurse Practitioner (Family)
5040 TENNYSON PKWY
PLANO, TX 75024
Collin County (469) 265-4748
HOME VISITS USA PLLC
Internal Medicine
5040 TENNYSON PKWY
PLANO, TX 75024
Collin County (469) 529-7415
JULIE ANNE KUENNEN APRN, FNP
Nurse Practitioner (Family)
5040 TENNYSON PKWY
PLANO, TX 75024
Collin County (469) 476-7810
OM DATTA PLLC
Internal Medicine (Geriatric Medicine)
5040 TENNYSON PKWY
PLANO, TX 75024
Collin County (469) 476-7810

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 Venkatesh Madhav's NPI number?

The NPI number for Venkatesh Madhav is 1144274341. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Venkatesh Madhav located?

Venkatesh Madhav practices at 5040 Tennyson Pkwy, Plano, TX 75024. The listed phone number is (469) 476-7810.

What is Venkatesh Madhav's specialty?

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

Is Venkatesh Madhav enrolled in Medicare?

Yes. Venkatesh 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.

What insurance does Venkatesh Madhav accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Venkatesh Madhav 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 Venkatesh Madhav affiliated with any hospitals?

According to CMS data, Venkatesh Madhav is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Venkatesh Madhav was last updated on November 2, 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.