MADHAVI MENON
NPI 1376207647
Nurse Practitioner in Los Angeles, CA
About Madhavi Menon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADHAVI MENON (NPI 1376207647) is an individual nurse practitioner in Los Angeles, California, licensed in California (95018917) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Madhavi Menon 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 Madhavi Menon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 169 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 100 clinicians in this Medicare group
Northridge, CA 91325
- Reassigned Medicare billing, California enrollment
- 137 clinicians in this Medicare group
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 163 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90015 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.
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
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 Madhavi Menon's NPI number?
The NPI number for Madhavi Menon is 1376207647. It was assigned to this individual provider in the NPPES registry on October 23, 2021.
Where is Madhavi Menon located?
Madhavi Menon practices at 1401 S Grand Ave, Los Angeles, CA 90015. The listed phone number is (213) 742-2411.
What is Madhavi Menon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Madhavi Menon enrolled in Medicare?
Yes. Madhavi Menon 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 Madhavi Menon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madhavi Menon reassigns Medicare benefits to 4 organizations: Golden State Emergency Physicians Inc (Los Angeles, CA), Victory Emergency Physicians Medical Group Inc (Los Angeles, CA), Ridgeline Emergency Physicians Medical Group, Inc. (Northridge, CA) and Grand Avenue Emergency Physicians Medical Group Inc (Bakersfield, CA). 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 Madhavi Menon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Madhavi Menon was last updated on October 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Madhavi Menon · NPI 1376207647
Nurse Practitioner physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 23, 2021.
## Identity
- **NPI:** 1376207647 (Entity type: Individual)
- **Enumerated:** October 23, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95018917 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 S GRAND AVE, Los Angeles, CA 90015-3010
- **Phone:** (213) 742-2411
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Golden State Emergency Physicians Inc (NPI 1770886558, Los Angeles, CA); Victory Emergency Physicians Medical Group Inc (NPI 1932402716, Los Angeles, CA); Ridgeline Emergency Physicians Medical Group, Inc. (NPI 1972953230, Northridge, CA); Grand Avenue Emergency Physicians Medical Group Inc (NPI 1962913632, Bakersfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 23, 2021
- **Other identifiers:** Medicaid 95018917 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376207647) · Data from the CMS NPPES public registry.