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RAJNI MADAAN MD
NPI 1568733764
Internal Medicine in Mt Pleasant, PA

Active since January 19, 2012PECOS EnrolledAccepts Medicare Assignment
525 W MAIN ST, MT PLEASANT, PA 15666(724) 613-5211(724) 613-5203 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017, Jan 10, 2017 (3 updates tracked since 2017).

About Rajni Madaan Md NPPES

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

RAJNI MADAAN MD (NPI 1568733764) is an individual internal medicine provider in Mt Pleasant, Pennsylvania, licensed in Pennsylvania (MD446125) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1568733764
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRAJNI MADAANCredential: MD
Location Address525 W MAIN STMt Pleasant, PA 15666-1833
Mailing Address520 Jefferson Ave, Suite 400Jeannette, PA 15644-2538 · (724) 527-8060 · Fax (724) 522-4002
Phone(724) 613-5211
Fax(724) 613-5203
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 19, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1568733764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD446125
Definition
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.
525 W MAIN ST, Mt Pleasant, PA 15666
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Other Identifiers 1

Medicaid102768141PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rajni Madaan Md 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 ID7214180520
PECOS Enrollment IDI20130118000175
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 9

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.
495 services214 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
187 services187 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.
136 services99 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
74 services71 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
69 services66 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
35 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15666 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers29 claims88 services$5.37 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers12 claims12 services$33.28 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers17 claims50 services$16.64 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers11 claims11 services$15.38 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers26 claims76 services$1.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$19.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANGEL B BALCITA JR. MD
Internal Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
MANJUSHA KAD MD
Family Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
MAIN STREET MEDICAL ASSOCIATES P C
Internal Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
JARRETT J BENDER DO
Family Medicine
525 W MAIN ST
MOUNT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Family Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
RICHARD OWEN QUINN II PT
Physical Therapist
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-6090
DR. WILLIAM MARK WEISEL M.D.
Family Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
TIFFANY ROSE HIGGINS DO
Family Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4537

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 Rajni Madaan's NPI number?

The NPI number for Rajni Madaan is 1568733764. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Rajni Madaan located?

Rajni Madaan practices at 525 W Main St, Mt Pleasant, PA 15666. The listed phone number is (724) 613-5211.

What is Rajni Madaan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rajni Madaan enrolled in Medicare?

Yes. Rajni Madaan 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 Rajni Madaan accept?

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

According to CMS data, Rajni Madaan is affiliated with Excela Health Westmoreland Regional Hospital, Penn Highlands Connellsville, Excela Health - Frick Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Rajni Madaan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.