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DR. MOHIT MADKEN MD
NPI 1346963337
Internal Medicine - Nephrology in Pittsburgh, PA

Active since September 23, 2022PECOS EnrolledAccepts Medicare Assignment
3459 5TH AVENUE MONTEFIORE 7 SOUTH, PITTSBURGH, PA 15261(412) 647-5868 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Jul 5, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2022).

About Dr. Mohit Madken Md NPPES

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

DR. MOHIT MADKEN MD (NPI 1346963337) is an individual nephrology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD484996) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1346963337
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MOHIT MADKENCredential: MD
Location Address3459 5TH AVENUE MONTEFIORE 7 SOUTHPittsburgh, PA 15261-6110
Mailing Address3459 5th AvePittsburgh, PA 15213-3236 · (412) 647-5688
Phone(412) 647-5868
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 23, 2022
Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1346963337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD484996
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3459 5TH AVENUE MONTEFIORE 7 SOUTH, Pittsburgh, PA 15261
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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. Mohit Madken 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 ID6800339185
PECOS Enrollment IDI20240614000781
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services14 patients
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.
25 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15261 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Mohit Madken's NPI number?

The NPI number for Mohit Madken is 1346963337. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Mohit Madken located?

Mohit Madken practices at 3459 5th Avenue Montefiore 7 South, Pittsburgh, PA 15261. The listed phone number is (412) 647-5868.

What is Mohit Madken's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mohit Madken enrolled in Medicare?

Yes. Mohit Madken 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.

Is Mohit Madken affiliated with any hospitals?

According to CMS data, Mohit Madken is affiliated with Upmc Altoona, Upmc Passavant, Upmc Presbyterian Shadyside and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Mohit Madken was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.