NICOLAS LETH MADSEN MD
NPI 1245348374
Pediatrics - Pediatric Cardiology in Cincinnati, OH
About Nicolas Leth Madsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLAS LETH MADSEN MD (NPI 1245348374) is an individual pediatric cardiology provider in Cincinnati, Ohio, licensed in Ohio (35.099439) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2005).
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 and accepts Medicare assignment
Nicolas Leth Madsen Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicolas Madsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45229
- Reassigned Medicare billing, Ohio enrollment
- 2,080 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 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.
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.
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.
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
CINCINNATI, OH 45229
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 Nicolas Madsen's NPI number?
The NPI number for Nicolas Madsen is 1245348374. It was assigned to this individual provider in the NPPES registry on August 28, 2006.
Where is Nicolas Madsen located?
Nicolas Madsen practices at 3333 Burnet Ave Ml 2003, Cincinnati, OH 45229. The listed phone number is (513) 636-4432.
What is Nicolas Madsen's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Nicolas Madsen enrolled in Medicare?
Yes. Nicolas Madsen 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 Nicolas Madsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Madsen reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center (Cincinnati, OH) and The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). 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 Nicolas Madsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicolas Madsen accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Nicolas Madsen 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 Nicolas Madsen was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Nicolas Leth Madsen, MD · NPI 1245348374
Pediatric Cardiology physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since August 28, 2006.
## Identity
- **NPI:** 1245348374 (Entity type: Individual)
- **Enumerated:** August 28, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 35.099439 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 BURNET AVE, ML 2003, Cincinnati, OH 45229-3026
- **Phone:** (513) 636-4432 · **Fax:** (513) 636-3952
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Medical Center (NPI 1609915784, Cincinnati, OH); The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** October 8, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1245348374) · Data from the CMS NPPES public registry.