AJAY AKASH MADHAVAN MD
NPI 1285029330
Radiology - Diagnostic Radiology in Durham, NC
About Ajay Akash Madhavan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJAY AKASH MADHAVAN MD (NPI 1285029330) is an individual diagnostic radiology provider in Durham, North Carolina, licensed in North Carolina (2025-03713) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of University Of Minnesota Medical School (2015).
NPPES Registry Identity
Specialties & Licenses 2
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
Ajay Akash Madhavan 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
4Medicare enrollment records show Ajay Madhavan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 clinicians in this Medicare group
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
Red Wing, MN 55066
- Reassigned Medicare billing, Minnesota enrollment
- 1,571 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 32
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Hospital Rochester
Acute Care Hospitals · Rochester, MNDuke University Hospital
Acute Care Hospitals · Durham, NCLake Norman Regional Medical Center
Acute Care Hospitals · Mooresville, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DURHAM, NC 27705
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 Ajay Madhavan's NPI number?
The NPI number for Ajay Madhavan is 1285029330. It was assigned to this individual provider in the NPPES registry on April 4, 2015.
Where is Ajay Madhavan located?
Ajay Madhavan practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (507) 284-2511.
What is Ajay Madhavan's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Ajay Madhavan enrolled in Medicare?
Yes. Ajay 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.
Which organizations bill Medicare for Ajay Madhavan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Madhavan reassigns Medicare benefits to 4 organizations: Duke Health Integrated Practice, Inc. (Durham, NC), Duke University Health System, Inc. (Durham, NC), Mayo Clinic (Rochester, MN) and Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN). 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 Ajay Madhavan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ajay Madhavan accept?
Health plans from Cigna Healthcare list Ajay 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 Ajay Madhavan affiliated with any hospitals?
According to CMS data, Ajay Madhavan is affiliated with Mayo Clinic Hospital Rochester, Duke University Hospital, Lake Norman Regional Medical Center and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Ajay Madhavan was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.