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DR. PANKAJ MADAN MD
NPI 1285897272
Internal Medicine - Cardiovascular Disease in San Antonio, TX

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
21727 IH 10 W STE 107, SAN ANTONIO, TX 78257(210) 644-1230(210) 702-4615 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Jan 24, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Pankaj Madan Md NPPES

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

DR. PANKAJ MADAN MD (NPI 1285897272) is an individual cardiovascular disease provider in San Antonio, Texas, licensed in Texas (Q6873) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1285897272
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PANKAJ MADANCredential: MD
Location Address21727 IH 10 W STE 107San Antonio, TX 78257-2108
Mailing Address21727 Ih 10 WSan Antonio, TX 78257-2106 · (210) 644-1230 · Fax (210) 702-4615
Phone(210) 644-1230
Fax(210) 702-4615
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 9, 2008
Last NPPES UpdateApril 14, 20264 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1285897272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · Q6873
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
21727 IH 10 W STE 107, San Antonio, TX 78257
Open in Google Maps ↗

Other Identifiers 3

Medicaid359162001TX
Other8FV105TX · Bcbs
Other498304YR99TX · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.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

Dr. Pankaj Madan 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.

PECOS PAC ID6204083777
PECOS Enrollment IDI20160518000806
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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
87 services59 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
61 services52 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
61 services52 patients
Ultrasound of heart for congenital defect 93303
An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.
59 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Test for exercise-induced heart and lung stress 94621
This is a test to evaluate how your heart and lungs respond to physical exertion. You'll exercise on a treadmill or a stationary bike, while your heart rate, breathing, blood pressure, and fatigue levels are monitored. This helps identify any abnormal responses to physical activity.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78257 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 2

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

BOBBIE ROMERO NGUYEN APRN
Nurse Practitioner (Family)
21727 IH 10 W STE 107
SAN ANTONIO, TX 78257
Bexar County (210) 644-1230
DR. POOJA KHURANA KASHYAP MD
Pediatrics (Pediatric Cardiology)
21727 IH 10 W STE 107
SAN ANTONIO, TX 78257
Bexar County (210) 644-1230

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 Pankaj Madan's NPI number?

The NPI number for Pankaj Madan is 1285897272. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Pankaj Madan located?

Pankaj Madan practices at 21727 Ih 10 W Ste 107, San Antonio, TX 78257. The listed phone number is (210) 644-1230.

What is Pankaj Madan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pankaj Madan enrolled in Medicare?

Yes. Pankaj Madan 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 Pankaj Madan accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Pankaj Madan 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 Pankaj Madan affiliated with any hospitals?

According to CMS data, Pankaj Madan is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Pankaj Madan was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.