DR. PURNEMA MADAHAR M.D.
NPI 1639457971
Internal Medicine - Critical Care Medicine in New York, NY

Active since August 03, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
622 W 168TH ST, NEW YORK, NY 10032(212) 305-9819(212) 305-8464 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2020, Mar 17, 2018, May 19, 2017 (3 updates tracked since 2017).

About Dr. Purnema Madahar M.d. NPPES

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

DR. PURNEMA MADAHAR M.D. (NPI 1639457971) is an individual critical care medicine provider in New York, New York, licensed in New York (269539) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1639457971
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. PURNEMA MADAHARCredential: M.D.
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address630 W 168th St # 4New York, NY 10032-3725 · (212) 305-9819 · Fax (212) 305-8464
Fax(212) 305-8464
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2010
Enumeration DateAugust 3, 2011
Last NPPES UpdateMarch 19, 20203 updates tracked since enumeration
NPPES CertifiedMarch 19, 2020
NPI 1639457971 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 NY · 269539
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 Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 269539 (NY)
622 W 168TH ST, New York, NY 10032

Secondary Practice Location 1

Location 15141 BroadwayNew York, NY 10034-1159 · Phone (212) 305-9819

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. Purnema Madahar M.d. 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 ID5395988661
PECOS Enrollment IDI20130905000722
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.

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.
242 services82 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.
71 services38 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
61 services33 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
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.

Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032

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 Purnema Madahar's NPI number?

The NPI number for Purnema Madahar is 1639457971. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Purnema Madahar located?

Purnema Madahar practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-9819.

What is Purnema Madahar's specialty?

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

Is Purnema Madahar enrolled in Medicare?

Yes. Purnema Madahar 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.

Is Purnema Madahar affiliated with any hospitals?

According to CMS data, Purnema Madahar is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Purnema Madahar was last updated on March 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.