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MADHAV VISSA
NPI 1174941991
Pediatrics - Pediatric Hematology-Oncology in Oakland, CA

Active since March 29, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
747 52ND STREET, OAKLAND, CA 94609(510) 428-3000 Get Directions Write a Review

NPPES record last updated: August 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madhav Vissa NPPES

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

MADHAV VISSA (NPI 1174941991) is an individual pediatric hematology-oncology provider in Oakland, California, licensed in California (A154321) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174941991
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameMADHAV VISSA
Location Address747 52ND STREETOakland, CA 94609
Mailing Address995 Potrero Avenue, Bldg. 80 Ward 86San Francisco, CA 94110
Phone(510) 428-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 29, 2014
Last NPPES UpdateAugust 6, 2023
NPPES CertifiedAugust 6, 2023
✔ NPI 1174941991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A154321
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License A154321 (CA)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License A154321 (CA)
747 52ND STREET, Oakland, CA 94609
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1995 Potrero Avenue, Bldg. 80 Ward 86San Francisco, CA 94110 · Phone (628) 206-2407
Location 24401 Penn Ave, AOB Suite 5400Pittsburgh, PA 15224-1334 · Phone (412) 692-5285

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

Madhav Vissa 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 ID6406075282
PECOS Enrollment IDI20210702001082
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

SARAH DURNEY
Student in an Organized Health Care Education/Training Program
747 52ND STREET, SUITE 245
OAKLAND, CA 94609
Alameda County (510) 428-3331
CAROL KO-HAN LIN
Student in an Organized Health Care Education/Training Program
747 52ND STREET, CHILDREN'S HOSPITAL RESEARCH CENTER OAKLAND
OAKLAND, CA 94609
Alameda County (510) 428-3000
ELIZABETH ELLEN GLEGHORN M.D.
Pediatrics (Pediatric Gastroenterology)
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3058
DR. JUNE MARIE TESTER MD
Pediatrics
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3000
SUSAN MORRIS TURPIN R.N., PNP
Nurse Practitioner (Pediatrics, Critical Care)
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3380
MRS. BRITTA CHRISTINE SALVETTI MD
Pediatrics
747 52ND STREET, MEDICAL EDUCATION
OAKLAND, CA 94609
Alameda County (510) 428-3000
DR. LACEY MARIE MILLER DO
Student in an Organized Health Care Education/Training Program
747 52ND STREET
OAKLAND, CA 94609
Alameda County (510) 428-3331
DR. THOMAS DURAND REED M.D.
Pediatrics (Pediatric Critical Care Medicine)
747 52ND STREET, CHILDREN'S HOSPITAL - OAKLAND
OAKLAND, CA 94609
Alameda County (510) 428-3710

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 Madhav Vissa's NPI number?

The NPI number for Madhav Vissa is 1174941991. It was assigned to this individual provider in the NPPES registry on March 29, 2014.

Where is Madhav Vissa located?

Madhav Vissa practices at 747 52nd Street, Oakland, CA 94609. The listed phone number is (510) 428-3000.

What is Madhav Vissa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Madhav Vissa enrolled in Medicare?

Yes. Madhav Vissa 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 Madhav Vissa was last updated on August 6, 2023. 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.