DR. JOSE A MADRAZO MD
NPI 1508984873
Internal Medicine - Cardiovascular Disease in Baltimore, MD

Q: What is Jose Madrazo's NPI number?

The NPI number for Jose Madrazo is 1508984873. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Jose Madrazo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Madrazo was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 26, 2007PECOS Enrolled

75/100

CMS Quality Rating

600 N WOLFE STREET, CARNEGIE 565, BALTIMORE, MD 21287(410) 955-8315(410) 367-2151 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2023, Dec 6, 2019 (2 updates tracked since 2019).

On this page

About Dr. Jose A Madrazo Md NPPES

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

DR. JOSE A MADRAZO MD (NPI 1508984873) is an individual cardiovascular disease provider in Baltimore, Maryland, licensed in Maryland (D77178) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (2002).

NPPES Registry Identity

NPI1508984873

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. JOSE A MADRAZOCredential: MD

Location Address600 N WOLFE STREET, CARNEGIE 565Baltimore, MD 21287-0005

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266

Phone(410) 955-8315

Fax(410) 367-2151

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2002

Enumeration DateMarch 26, 2007

Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1508984873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in MD · D77178✔ Licensed in MO · 2005012336

Definition

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.

600 N WOLFE STREET, Baltimore, MD 21287

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose A Madrazo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820129091

PECOS Enrollment IDI20140610000018, I20210816003420

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.

Medicare Billing Reassignments

Medicare enrollment records show Jose Madrazo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University

Same address

Pediatric Allergy/Immunology

600 N WOLFE ST
Baltimore, MD 21287

Reassigned Medicare billing, Maryland enrollment
4,483 clinicians in this Medicare group

NPI 1023018413 (410) 933-1182

Johns Hopkins University

0.1 mi

Clinical Cardiac Electrophysiology

600 N WOLFE ST
Baltimore, MD 21287

Reassigned Medicare billing, Maryland and District of Columbia enrollments
Also billed through NPI 1801891080 (District of Columbia)
38 clinicians in this Medicare group

NPI 1487118048 (410) 955-5000

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 32

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A 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.

3,469 services1,689 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This 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.

798 services782 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

366 services362 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

260 services202 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

248 services189 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

232 services173 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

180 services164 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

175 services166 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.

151 services79 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An 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.

97 services97 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

94 services90 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

88 services62 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

85 services84 patients

Ultrasound of heart, follow-up 93308

77 services28 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

76 services28 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

76 services28 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.

70 services55 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

58 services58 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

54 services53 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

46 services46 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

39 services38 patients

Ultrasound of heart during rest, exercise and/or drug-induced stress with report 93350

This procedure involves using ultrasound imaging to view your heart at rest, during exercise, and/or under drug-induced stress. It helps assess how well your heart responds to exertion. A report of the findings is provided after the test.

36 services36 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

30 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

24 services24 patients

Heart muscle strain imaging 93356

21 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services19 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

18 services18 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

18 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

17 services17 patients

3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects 93319

3D ultrasound imaging of the heart is a non-invasive procedure that uses sound waves to create a detailed three-dimensional image of your heart. This helps in evaluating the heart's structure, particularly for diagnosing congenital heart defects. It is safe, painless and provides valuable information about your heart health.

14 services14 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

13 services13 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210029

Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County

Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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.

DR. WHITNEY ERIN PARKER MD, PHD

Neurological Surgery

600 N WOLFE STREET, PHIPPS 554
BALTIMORE, MD 21287

Baltimore City (410) 955-7851

RACHEL AARON PHD

Psychologist (Clinical)

600 N WOLFE STREET, MEYER 163
BALTIMORE, MD 21287

Baltimore City (410) 614-4030

ALLISON WEAVER MD

Internal Medicine

600 N WOLFE STREET, MEYER 8-134
BALTIMORE, MD 21287

Baltimore City (410) 614-4474

DR. JANA CHRISTIAN MD

Internal Medicine

600 N WOLFE STREET, MEYER 8-134
BALTIMORE, MD 21287

Baltimore City (410) 614-4474

JESINTHA STEPHENSON MD

Hospitalist

600 N WOLFE STREET, MEYER 8-134
BALTIMORE, MD 21287

Baltimore City (410) 614-4474

HAMILTON MOSES III M.D.

Psychiatry & Neurology (Neurology)

600 N WOLFE STREET, THE JOHNS HOPKINS HOSPITAL
BALTIMORE, MD 21287

Baltimore City (434) 984-2016

DR. GERARD LIMERICK MD

Physical Medicine & Rehabilitation

600 N WOLFE STREET, NELSON 2-131
BALTIMORE, MD 21287

Baltimore City (410) 955-1818

DR. COLIN KANE OD

Optometrist

600 N WOLFE STREET, WILMER 233
BALTIMORE, MD 21287

Baltimore City (410) 955-8679

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 Jose Madrazo's NPI number?

The NPI number for Jose Madrazo is 1508984873. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Jose Madrazo located?

Jose Madrazo practices at 600 N Wolfe Street Carnegie 565, Baltimore, MD 21287. The listed phone number is (410) 955-8315.

What is Jose Madrazo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jose Madrazo enrolled in Medicare?

Yes. Jose Madrazo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Madrazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Madrazo reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). 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 Jose Madrazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Madrazo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jose Madrazo 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 Jose Madrazo affiliated with any hospitals?

According to CMS data, Jose Madrazo is affiliated with Frederick Health Hospital, Johns Hopkins Hospital, The, Johns Hopkins Bayview Medical Center and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Jose Madrazo was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.