LEKHA SETHU MADHAVAN M.D.
NPI 1235283979
Internal Medicine in Bellevue, WA

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1407 116TH AVE NE, SUITE 200, BELLEVUE, WA 98004(425) 990-5222(425) 990-5261 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lekha Sethu Madhavan M.d. NPPES

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

LEKHA SETHU MADHAVAN M.D. (NPI 1235283979) is an individual internal medicine provider in Bellevue, Washington, licensed in Washington (MD00047094) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1235283979
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLEKHA SETHU MADHAVANCredential: M.D.
Location Address1407 116TH AVE NE, SUITE 200Bellevue, WA 98004-3819
Mailing AddressPo Box 84088Seattle, WA 98124-8488 · (425) 454-5281 · Fax (425) 990-5261
Fax(425) 990-5261
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1235283979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD00047094
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1407 116TH AVE NE, Bellevue, WA 98004

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

Lekha Sethu Madhavan 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 ID2860594322
PECOS Enrollment IDI20070301000424
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 13

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

Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Internal Medicine (Geriatric Medicine)
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Internal Medicine
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
Clinical Medical Laboratory
1407 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004

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 Lekha Madhavan's NPI number?

The NPI number for Lekha Madhavan is 1235283979. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Lekha Madhavan located?

Lekha Madhavan practices at 1407 116th Ave NE Suite 200, Bellevue, WA 98004. The listed phone number is (425) 990-5222.

What is Lekha Madhavan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lekha Madhavan enrolled in Medicare?

Yes. Lekha 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 Lekha Madhavan accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lekha 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 Lekha Madhavan affiliated with any hospitals?

According to CMS data, Lekha Madhavan is affiliated with Overlake Hospital Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Lekha Madhavan was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.