RAMESH MADHAVAN
NPI 1205863867
Psychiatry & Neurology - Neurology in Garden City, MI

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
39.65/100
CMS Quality Rating
6255 INKSTER RD STE 101, GARDEN CITY, MI 48135(248) 955-9949(248) 928-2274 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 17, 2024, May 6, 2021 (2 updates tracked since 2021).

About Ramesh Madhavan NPPES

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

RAMESH MADHAVAN (NPI 1205863867) is an individual neurology provider in Garden City, Michigan, licensed in Michigan (4301077428) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Bloomfield Hills.

NPPES Registry Identity

NPI1205863867
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRAMESH MADHAVAN
Location Address6255 INKSTER RD STE 101Garden City, MI 48135-2538
Mailing Address43902 Woodward Ave Ste 100Bloomfield Hills, MI 48302-5021 · (248) 955-9949 · Fax (248) 928-2274
Fax(248) 928-2274
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
NPI 1205863867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MI · 4301077428
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

6255 INKSTER RD STE 101, Garden City, MI 48135

Secondary Practice Location 1

Location 143902 Woodward Ave Ste 100Bloomfield Hills, MI 48302-5021 · Phone (248) 955-9949 · Fax (248) 928-2274

Accepted 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

Ramesh Madhavan 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 ID345246146
PECOS Enrollment IDI20061019000132
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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
256 services131 patients
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.
120 services75 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
107 services103 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services16 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.
17 services17 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Garden City Hospital

Acute Care Hospitals · Garden City, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230244
Location6245 Inkster RdGarden City, MI 48135 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48135 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

39.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability0
Improvement Activities30
Cost69.24

Other Providers at the Same Location NPPES 3

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

Internal Medicine
6255 INKSTER RD STE 101
GARDEN CITY, MI 48135
Psychiatry & Neurology (Neurology)
6255 INKSTER RD STE 101
GARDEN CITY, MI 48135
Neurological Surgery
6255 INKSTER RD STE 101
GARDEN CITY, MI 48135

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 Ramesh Madhavan's NPI number?

The NPI number for Ramesh Madhavan is 1205863867. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Ramesh Madhavan located?

Ramesh Madhavan practices at 6255 Inkster Rd Ste 101, Garden City, MI 48135. The listed phone number is (248) 955-9949.

What is Ramesh Madhavan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ramesh Madhavan enrolled in Medicare?

Yes. Ramesh Madhavan 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 Ramesh Madhavan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Ramesh Madhavan 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 Ramesh Madhavan affiliated with any hospitals?

According to CMS data, Ramesh Madhavan is affiliated with Trinity Health Oakland Hospital, Lake Huron Medical Center and Garden City Hospital.

When was this NPI record last updated?

The NPPES record for Ramesh Madhavan was last updated on May 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.