DR. KHORSHED MADAN M.D. NPI 1366464356
Internal Medicine in Redwood City, CA
About DR. KHORSHED MADAN M.D.
Khorshed Madan is an internist established in Redwood City, California and her medical specialization is Internal Medicine with more than 42 years of experience. The NPI number of this provider is 1366464356 and was assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number A049822 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
| NPI | 1366464356 |
| Provider Name | DR. KHORSHED MADAN M.D. |
| Location Address | 900 VETERANS BLVD SUITE 150 REDWOOD CITY, CA 94063 |
| Location Phone | (650) 298-8774 |
| Mailing Address | 900 VETERANS BLVD SUITE 150 REDWOOD CITY, CA 94063 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1981 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-25-2006 |
| Last Update Date | 04-24-2017 |
An internist like Khorshed Madan is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Khorshed Madan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Khorshed Madan is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Peninsula Medical Center, Sequoia Hospital and Stanford Health Care.
The typical physician office visit costs for Medicare beneficiaries in this area are: $39.19 for a new patient copayment and $30.64 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | A049822 |
| License State | CA |
| Taxonomy Description | 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
900 VETERANS BLVD
SUITE 150
REDWOOD CITY, CA
ZIP 94063
Phone: (650) 298-8774
Fax: (650) 288-4180
Mailing Address
900 VETERANS BLVD
SUITE 150
REDWOOD CITY, CA
ZIP 94063
Phone: (650) 298-8774
Fax: (650) 288-4180
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7315019734 |
| PECOS Enrollment ID | I20080630000650 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 94063 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $69.92 | $206.38 | $156.78 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $17.48 | $51.59 | $39.19 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $22.97 | $169.96 | $122.57 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.74 | $42.49 | $30.64 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 11Administration of influenza virus vaccine (HCPCS:G0008)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Khorshed Madan is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PENINSULA MEDICAL CENTER | 1501 TROUSDALE DRIVE BURLINGAME, CA 94010 | (650) 696-5400 | Acute Care Hospitals | 50007 | |
| SEQUOIA HOSPITAL | 170 ALAMEDA DE LAS PULGAS REDWOOD CITY, CA 94062 | (650) 367-5551 | Acute Care Hospitals | 50197 | |
| STANFORD HEALTH CARE | 300 PASTEUR DRIVE STANFORD, CA 94305 | (650) 723-5708 | Acute Care Hospitals | 50441 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| F51008 | MEDICARE UPIN (02) | |
| ZZZ16205Z | MEDICARE ID-TYPE UNSPECIFIED (04) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 4 | 6 | 4 | 3 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 6 | 8 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 6 + 8 + 3 + 1 + 0 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1366464356 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932125135 | DR. GURPREET KAUR PADAM M.D. Individual | Family Medicine (Hospice and Palliative Medicine) | 900 VETERANS BLVD SUITE 300 REDWOOD CITY, CA 94063 (650) 299-4923 |
| 1841354289 | MS. LEE ANN MARTIN JONES LCSW Individual | Case Manager/Care Coordinator | 900 VETERANS BLVD SUITE 300 REDWOOD CITY, CA 94063 (650) 299-4456 |
| 1871643221 | MS. MOLLY KAUFFMAN MS, PT Individual | Physical Therapist | 900 VETERANS BLVD SUITE 400 REDWOOD CITY, CA 94063 (650) 299-3968 |
| 1225223209 | SIMONE SANDY Individual | Student in an Organized Health Care Education/Training Program | 900 VETERANS BLVD REDWOOD CITY, CA 94063 (650) 363-4195 |
| 1902092232 | ELIZABETH MACAYAN Individual | Counselor (Mental Health) | 900 VETERANS BLVD SUITE 330 REDWOOD CITY, CA 94063 (650) 363-4195 |
| 1689850596 | THERESA BASSETT-MCCONNELL Individual | Counselor | 900 VETERANS BLVD SUITE 210 REDWOOD CITY, CA 94063 (650) 599-1102 |
| 1386807063 | DEBORAH SCHOENLEIN SMITH RN MS CNS Individual | Clinical Nurse Specialist | 900 VETERANS BLVD SUITE 300 REDWOOD CITY, CA 94063 (650) 299-4959 |
| 1932351376 | KAISER PERMANENTE Organization | Home Health | 900 VETERANS BLVD SUITE 400 REDWOOD CITY, CA 94063 (650) 598-2852 |
| 1952657942 | DIANA PILAR PATINO Individual | Physical Therapist | 900 VETERANS BLVD REDWOOD CITY, CA 94063 (650) 299-2000 |
| 1033296983 | SYLVIE L. BLUMSTEIN MD Individual | Obstetrics & Gynecology | 900 VETERANS BLVD REDWOOD CITY, CA 94063 (650) 299-4000 |
| 1013080159 | MARY BETH RICHARDSON D.P.T. Individual | Physical Therapist (Neurology) | 900 VETERANS BLVD REDWOOD CITY, CA 94063 (650) 299-3940 |
| 1912096942 | MRS. ALLYSON ANDERS FISCH GNP, RD Individual | Nurse Practitioner | 900 VETERANS BLVD SUITE 300 REDWOOD CITY, CA 94063 (650) 299-4959 |
Frequently Asked Questions
What is Dr. Khorshed Madan M.D. NPI number?
The NPI number assigned to this healthcare provider is 1366464356, registered as an "individual" on July 25, 2006
Where is Dr. Khorshed Madan M.D. located?
The provider is located at 900 Veterans Blvd Suite 150 Redwood City, Ca 94063 and the phone number is (650) 298-8774
Which is Dr. Khorshed Madan M.D. specialty?
The provider's speciality is Internal Medicine
How many years of experience does Dr. Khorshed Madan M.D. have?
The provider has more than 42 years of experience.
What insurance does Dr. Khorshed Madan M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Khorshed Madan M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Khorshed Madan M.D.?
Medicare beneficiaries should expect a typical cost of $156.78 with an average copayment of $39.19 for new patient appointments. Established patients should expect a typical charge of $122.57 and an average copayment of 30.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Khorshed Madan M.D.?
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine.
Is Dr. Khorshed Madan M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: PENINSULA MEDICAL CENTER, SEQUOIA HOSPITAL and STANFORD HEALTH CARE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Khorshed Madan M.D. was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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