GUL MADISON
NPI 1194844001
Internal Medicine - Infectious Disease in Philadelphia, PA

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
9501 ROOSEVELT BLVD, SUITE 208, PHILADELPHIA, PA 19114(215) 464-9634 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2021, May 26, 2021, Apr 27, 2021 (3 updates tracked since 2021).

About Gul Madison NPPES

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

GUL MADISON (NPI 1194844001) is an individual infectious disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436900) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194844001
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameGUL MADISON
Location Address9501 ROOSEVELT BLVD, SUITE 208Philadelphia, PA 19114-1025
Mailing Address9501 Roosevelt Blvd, Suite 208Philadelphia, PA 19114-1025
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 30, 20233 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
✔ NPI 1194844001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in PA · MD436900
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
9501 ROOSEVELT BLVD, Philadelphia, PA 19114

Accepted Insurance

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

Gul Madison 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 ID6103094255
PECOS Enrollment IDI20110906000318
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 Billing Reassignments

11

Medicare enrollment records show Gul Madison reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
9331 OLD BUSTLETON AVE, SUITE 100A
Philadelphia, PA 19115
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group
Physical Medicine & Rehabilitation
2601 HOLME AVE
Philadelphia, PA 19152
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
Internal Medicine
1503 LANSDOWNE AVENUE, SUITE 2000
Philadelphia, PA 19143
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 45 clinicians in this Medicare group
Family Medicine
115 SOUTH CHURCH STREET
Berryville, VA 22611
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Rural Health
160 MERCHANT ST STE 100
Winchester, VA 22603
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Internal Medicine
3100 SUPERIOR AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 36 clinicians in this Medicare group
Surgery
323 S 18TH AVE
Sturgeon Bay, WI 54235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 216 clinicians in this Medicare group
Oncology
323 S 18TH AVE
Sturgeon Bay, WI 54235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 79 clinicians in this Medicare group
General Acute Care Hospital
1726 SHAWANO AVE
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 57 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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services36 patients

Hospital Affiliations CMS Care Compare

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

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Nurse Practitioner
9501 ROOSEVELT BLVD
PHILADELPHIA, PA 19114
Dermatology
9501 ROOSEVELT BLVD, SUITE 508
PHILADELPHIA, PA 19114
Dentist (Oral and Maxillofacial Surgery)
9501 ROOSEVELT BLVD, SUITE 101
PHILADELPHIA, PA 19114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9501 ROOSEVELT BLVD, SUITE 400
PHILADELPHIA, PA 19114
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9501 ROOSEVELT BLVD, SUITE 400
PHILADELPHIA, PA 19114
Internal Medicine
9501 ROOSEVELT BLVD, SUITE 400
PHILADELPHIA, PA 19114
Family Medicine
9501 ROOSEVELT BLVD, SUITE 206 B
PHILADELPHIA, PA 19114
Urology
9501 ROOSEVELT BLVD, SUITE 201
PHILADELPHIA, PA 19114

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 Gul Madison's NPI number?

The NPI number for Gul Madison is 1194844001. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Gul Madison located?

Gul Madison practices at 9501 Roosevelt Blvd Suite 208, Philadelphia, PA 19114. The listed phone number is (215) 464-9634.

What is Gul Madison's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Gul Madison enrolled in Medicare?

Yes. Gul Madison 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 Gul Madison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gul Madison reassigns Medicare benefits to 11 organizations: Temple Physicians Inc (Philadelphia, PA), Trinity Health Mid-Atlantic Medical Group (Philadelphia, PA), Mercy Catholic Medical Center Of Southeastern PA (Philadelphia, PA), Valley Physician Enterprise, Inc. (Berryville, VA), Winchester Medical Center (Winchester, VA) and 6 more organizations, listed in the Medicare section above. 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 Gul Madison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gul Madison accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, BlueCross BlueShield of Tennessee and CareSource list Gul Madison 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 Gul Madison affiliated with any hospitals?

According to CMS data, Gul Madison is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald.

When was this NPI record last updated?

The NPPES record for Gul Madison was last updated on November 30, 2023. 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.