DR. RACHEL ANNE MADRID MD
NPI 1639359334
Internal Medicine - Critical Care Medicine in New Britain, CT

Active since November 09, 2007PECOS EnrolledAccepts Medicare Assignment
98.82/100
CMS Quality Rating
100 GRAND ST, NEW BRITAIN, CT 06052(860) 224-5011 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Mar 17, 2018, Jul 2, 2017 (3 updates tracked since 2017).

About Dr. Rachel Anne Madrid Md NPPES

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

DR. RACHEL ANNE MADRID MD (NPI 1639359334) is an individual critical care medicine provider in New Britain, Connecticut, licensed in California (C149815) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639359334
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. RACHEL ANNE MADRIDCredential: MD
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address354 Tunnel RdVernon, CT 06066-5946
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 9, 2007
Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2023
NPI 1639359334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · C149815
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 56432 (CT)
100 GRAND ST, New Britain, CT 06052

Secondary Practice Locations 5

Location 1465 W Putnam AvePorterville, CA 93257-3320 · Phone (559) 784-1110
Location 2St. John's Regional Medical Center - 1600 N Rose AvenueOxnard, CA 93030-3722 · Phone (805) 988-2500 · Fax (805) 485-3025
Location 3435 Lewis AveMeriden, CT 06451-2101 · Phone (203) 694-8200
Location 4St. John's Pleasant Valley Hospital - 2309 Antonio AveCamarillo, CA 93010-1414 · Phone (805) 389-5800 · Fax (805) 485-3025
Location 5777 Rural AveWilliamsport, PA 17701-3109 · Phone (570) 321-2850 · Fax (570) 321-2851

Other Identifiers 1

Medicaid1025090050001PA

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. Rachel Anne Madrid 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 ID6507052800
PECOS Enrollment IDI20180501002292
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 3

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.

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.
134 services66 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-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.
54 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

98.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.85
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.

Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Psychiatry & Neurology (Neurology)
100 GRAND ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Physician Assistant (Surgical)
100 GRAND ST
NEW BRITAIN, CT 06052
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052

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 Rachel Madrid's NPI number?

The NPI number for Rachel Madrid is 1639359334. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Rachel Madrid located?

Rachel Madrid practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (860) 224-5011.

What is Rachel Madrid's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rachel Madrid enrolled in Medicare?

Yes. Rachel Madrid 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.

When was this NPI record last updated?

The NPPES record for Rachel Madrid was last updated on October 2, 2023. 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.