DR. VASANTHA C. MADHAVAN M.D.
NPI 1407827629
Internal Medicine - Cardiovascular Disease in Pittsburgh, PA
NPI Status: Active since January 27, 2006
Contact Information
21 YOST BLVD
FOREST HILLS PLAZA-SUITE 216
PITTSBURGH, PA
ZIP 15221
Phone: (412) 823-3113
Fax: (412) 824-8634
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
- PECOS Enrolled
About VASANTHA MADHAVAN
This page provides the complete NPI Profile along with additional information for Vasantha Madhavan, an internist established in Pittsburgh, Pennsylvania with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1407827629 assigned on January 2006. The practitioner's primary taxonomy code is 207RC0000X with license number MD027285E (PA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1407827629
- Provider Name
- DR. VASANTHA C. MADHAVAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 21 YOST BLVD FOREST HILLS PLAZA-SUITE 216 PITTSBURGH, PA 15221
- Location Phone
- (412) 823-3113
- Location Fax
- (412) 824-8634
- Mailing Address
- 21 YOST BLVD FOREST HILLS PLAZA-SUITE 216 PITTSBURGH, PA 15221
- Mailing Phone
- (412) 823-3113
- Mailing Fax
- (412) 824-8634
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-27-2006
- Last Update Date
- 06-28-2011
- Code Navigator
An internist like Vasantha Madhavan 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.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD027285E
- License State
- PA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1629728 | OTHER (01) | PA | HIGHMARK BCBS |
| B38163 | MEDICARE UPIN (02) | PA | |
| 102417 | OTHER (01) | PA | UPMC HEALTH PLAN |
| 102417 | OTHER (01) | PA | UPMC FOR LIFE |
| 083427 | MEDICARE PIN (08) | PA | |
| 1538649 | OTHER (01) | PA | GATEWAY |
| 1834861002 | OTHER (01) | PA | CIGNA |
| 0008930950014 | MEDICAID (05) | PA | |
| 060007476 | OTHER (01) | PA | RAILROAD MEDICARE |
| 102417 | OTHER (01) | PA | UPMC FOR YOU |
| 155597 | OTHER (01) | PA | MEDPLUS |
| 244070 | OTHER (01) | PA | COVENTRY HEALTHCARE |
| 7974591 | OTHER (01) | PA | AETNA |
| 201362491 | OTHER (01) | PA | TRICARE |
| 201362491 | OTHER (01) | PA | UNITED HEALTHCARE |
Medicare Participation & PECOS Enrollment Status
Vasantha Madhavan 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary angioplasty and stenting
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Initial hospital inpatient care per day, typically 70 minutes
Insertion of needle or tube into artery of arm or leg
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist
Pacemaker insertion or repair
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
Coronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.
This service was performed for 11 patientsAn exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
This service was performed 26 times for 24 patientsAn exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
This service was performed 26 times for 24 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 64 times for 31 patientsFollow-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.
This service was performed 157 times for 46 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 141 times for 47 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 52 times for 43 patientsThis procedure involves inserting a needle or a small tube into an artery in your arm or leg. It's typically done to monitor blood pressure, take blood samples, or administer medication. You may feel a small prick or pressure. It's generally safe with minimal discomfort.
This service was performed 17 times for 15 patientsThis procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
This service was performed 15 times for 14 patientsPacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.
This service was performed for 1-10 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 1,293 times for 1,002 patientsThis is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
This service was performed 72 times for 69 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 19 times for 17 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15221 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407827629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
PITTSBURGH, PA 15221
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407827629, enumerated as an "individual" on January 27, 2006.
The provider is located at 21 YOST BLVD FOREST HILLS PLAZA-SUITE 216 PITTSBURGH, PA 15221 and the phone number is (412) 823-3113.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Blue Cross Blue Shield, Highmark Blue Shield,. Please consult your insurance carrier or call the provider to verify.