AMULYA LAXMI MADHAV
NPI 1215797154
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Amulya Laxmi Madhav NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMULYA LAXMI MADHAV (NPI 1215797154) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amulya Laxmi Madhav is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amulya Madhav reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
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 Amulya Madhav's NPI number?
The NPI number for Amulya Madhav is 1215797154. It was assigned to this individual provider in the NPPES registry on March 19, 2024.
Where is Amulya Madhav located?
Amulya Madhav practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Amulya Madhav's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amulya Madhav enrolled in Medicare?
Yes. Amulya Madhav is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amulya Madhav's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amulya Madhav reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Amulya Madhav's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amulya Madhav accept?
Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Amulya Madhav 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.
When was this NPI record last updated?
The NPPES record for Amulya Madhav was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Amulya Laxmi Madhav · NPI 1215797154
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 19, 2024.
## Identity
- **NPI:** 1215797154 (Entity type: Individual)
- **Enumerated:** March 19, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11301 WILSHIRE BLVD, Los Angeles, CA 90073-1003
- **Phone:** (310) 478-3711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215797154) · Data from the CMS NPPES public registry.