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PRANEETH MADABHUSHI M.D.
NPI 1154564995
Anesthesiology in Edison, NJ

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Mar 12, 2021 (2 updates tracked since 2021).

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

NPI1154564995
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NamePRANEETH MADABHUSHICredential: M.D.
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Phone(732) 321-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 9, 2009
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1154564995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in NJ · 25MA11734500✔ Licensed in PA · MD448842
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
65 JAMES ST, Edison, NJ 08820
Open in Google Maps ↗

Secondary Practice Location 1

Location 1110 Rehill AveSomerville, NJ 08876-2519 · Phone (908) 685-2200

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

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.

PECOS PAC ID4981838794
PECOS Enrollment IDI20230417001010
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

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

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, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

DR. LAMA EL ZEIN M.D
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
MARLINE SPENCER RN, MSN, NP-C
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 744-5537
MARIA P MASIH MD
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
KRISSA MATARLO-SMITH APN
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7733
ASHLEY MARGARITONDO DPT
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
MICHAEL D. CALI MD
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
STACEY JOU MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7070
MERARI SINGH APN
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000

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.

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.