PRANEETH MADABHUSHI M.D.
NPI 1154564995
Anesthesiology in Edison, NJ
About Praneeth Madabhushi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRANEETH MADABHUSHI M.D. (NPI 1154564995) is an individual anesthesiology provider in Edison, New Jersey, licensed in New Jersey (25MA11734500) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and maintains a secondary practice location in Somerville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Praneeth Madabhushi 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.
Medicare Billing Reassignments
2Medicare enrollment records show Praneeth Madabhushi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Tunkhannock, PA 18657
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 830 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Robert Wood Johnson University Hospital At Rahway
Acute Care Hospitals · Rahway, NJRobert Wood Johnson University Hospital
Acute Care Hospitals · New Brunswick, NJRobert Wood Johnson University Hospital - Somerset
Acute Care Hospitals · Somerville, NJMedicare 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.
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.
EDISON, NJ 08820
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 Praneeth Madabhushi's NPI number?
The NPI number for Praneeth Madabhushi is 1154564995. It was assigned to this individual provider in the NPPES registry on April 9, 2009.
Where is Praneeth Madabhushi located?
Praneeth Madabhushi practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7000.
What is Praneeth Madabhushi's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Praneeth Madabhushi enrolled in Medicare?
Yes. Praneeth Madabhushi 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 Praneeth Madabhushi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Praneeth Madabhushi reassigns Medicare benefits to 2 organizations: Rwjbh Observation Associates LLC (Livingston, NJ) and Guthrie Medical Group, P.C, (Tunkhannock, PA). 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 Praneeth Madabhushi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Praneeth Madabhushi affiliated with any hospitals?
According to CMS data, Praneeth Madabhushi is affiliated with Robert Wood Johnson University Hospital At Rahway, Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.
When was this NPI record last updated?
The NPPES record for Praneeth Madabhushi was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Praneeth Madabhushi, M.D. · NPI 1154564995
Anesthesiology physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since April 9, 2009.
## Identity
- **NPI:** 1154564995 (Entity type: Individual)
- **Enumerated:** April 9, 2009
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 25MA11734500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 JAMES ST, Edison, NJ 08820-3947
- **Phone:** (732) 321-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Guthrie Medical Group, P.C, (NPI 1164471652, Tunkhannock, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154564995) · Data from the CMS NPPES public registry.