DR. BAHAR MADANI MD
NPI 1730356106
Internal Medicine - Gastroenterology in La Jolla, CA

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
10666 N TORREY PINES RD, LA JOLLA, CA 92037(858) 554-4310 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bahar Madani Md NPPES

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

DR. BAHAR MADANI MD (NPI 1730356106) is an individual gastroenterology provider in La Jolla, California, licensed in California (101882) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1730356106
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BAHAR MADANICredential: MD
Location Address10666 N TORREY PINES RDLa Jolla, CA 92037-1027
Mailing Address10170 Sorrento Valley Rd, Pavillion Iii, Suite #268San Diego, CA 92121-1604 · (858) 784-5888
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 14, 2008
Last NPPES UpdateOctober 5, 2020
NPPES CertifiedOctober 5, 2020
NPI 1730356106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · 101882
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License 101882 (CA)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License N5211 (TX)
10666 N TORREY PINES RD, La Jolla, CA 92037

Other Identifiers 1

Other8CH059TX · Blue Cross

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. Bahar Madani 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 ID2365597002
PECOS Enrollment IDI20151015001251
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 8

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 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.
144 services98 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.
99 services83 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
94 services88 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
66 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 as part of a group practice
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.

Student in an Organized Health Care Education/Training Program
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Physician Assistant (Medical)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Radiology (Vascular & Interventional Radiology)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Internal Medicine (Cardiovascular Disease)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Internal Medicine (Geriatric Medicine)
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Hospitalist
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Hospitalist
10666 N TORREY PINES RD
LA JOLLA, CA 92037
Podiatrist
10666 N TORREY PINES RD
LA JOLLA, CA 92037

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 Bahar Madani's NPI number?

The NPI number for Bahar Madani is 1730356106. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Bahar Madani located?

Bahar Madani practices at 10666 N Torrey Pines Rd, La Jolla, CA 92037. The listed phone number is (858) 554-4310.

What is Bahar Madani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Bahar Madani enrolled in Medicare?

Yes. Bahar Madani 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 Bahar Madani was last updated on October 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.