DR. RITU MADAN DO
NPI 1396746517
Internal Medicine - Rheumatology in Marysville, OH

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
500 LONDON AVE, MARYSVILLE, OH 43040(937) 578-2020 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ritu Madan Do NPPES

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

DR. RITU MADAN DO (NPI 1396746517) is an individual rheumatology provider in Marysville, Ohio, licensed in Ohio (34.008759) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1396746517
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. RITU MADANCredential: DO
Location Address500 LONDON AVEMarysville, OH 43040-3570
Mailing Address500 London AveMarysville, OH 43040-3570 · (937) 578-2020
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1996
Enumeration DateAugust 10, 2005
Last NPPES UpdateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
NPI 1396746517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in OH · 34.008759
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
500 LONDON AVE, Marysville, OH 43040

Other Identifiers 2

Medicaid200385060AIN
Medicaid2726134OH

Accepted 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. Ritu Madan Do 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 ID2769589779
PECOS Enrollment IDI20070525000030
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 4

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 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.
145 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
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.
27 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Mary Rutan Hospital

Acute Care Hospitals · Bellefontaine, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360197
Location205 Palmer AvenueBellefontaine, OH 43311 · Logan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
500 LONDON AVE
MARYSVILLE, OH 43040
Nurse Anesthetist, Certified Registered
500 LONDON AVE
MARYSVILLE, OH 43040
Internal Medicine (Cardiovascular Disease)
500 LONDON AVE
MARYSVILLE, OH 43040
Nurse Practitioner (Adult Health)
500 LONDON AVE
MARYSVILLE, OH 43040
Dietitian, Registered
500 LONDON AVE
MARYSVILLE, OH 43040
Psychiatry & Neurology (Neurology)
500 LONDON AVE
MARYSVILLE, OH 43040
Emergency Medicine
500 LONDON AVE
MARYSVILLE, OH 43040
Pharmacist
500 LONDON AVE
MARYSVILLE, OH 43040

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 Ritu Madan's NPI number?

The NPI number for Ritu Madan is 1396746517. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Ritu Madan located?

Ritu Madan practices at 500 London Ave, Marysville, OH 43040. The listed phone number is (937) 578-2020.

What is Ritu Madan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Ritu Madan enrolled in Medicare?

Yes. Ritu 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 Ritu Madan accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Ritu 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 Ritu Madan affiliated with any hospitals?

According to CMS data, Ritu Madan is affiliated with Memorial Hospital and Mary Rutan Hospital.

When was this NPI record last updated?

The NPPES record for Ritu Madan was last updated on February 8, 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.