NEIL N MAKADIA MD
NPI 1760685242
Family Medicine in Canal Winchester, OH

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
6201 GENDER RD, CANAL WINCHESTER, OH 43110(614) 834-8042(614) 837-8035 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neil N Makadia Md NPPES

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

NEIL N MAKADIA MD (NPI 1760685242) is an individual family medicine provider in Canal Winchester, Ohio, licensed in Ohio (35089353) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1760685242
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNEIL N MAKADIACredential: MD
Location Address6201 GENDER RDCanal Winchester, OH 43110-2007
Mailing Address6201 Gender RdCanal Winchester, OH 43110-2007 · (614) 834-8042 · Fax (614) 837-8035
Fax(614) 837-8035
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 11, 2007
Last NPPES UpdateMarch 15, 2011
NPI 1760685242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35089353
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6201 GENDER RD, Canal Winchester, OH 43110

Other Identifiers 2

Medicaid2755148OH
Medicare PIN4211352OH

Accepted 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

Neil N Makadia 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 ID9234230418
PECOS Enrollment IDI20070719000039
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 16

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
144 services101 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.
127 services72 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
122 services92 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
120 services94 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
115 services93 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
113 services88 patients

Hospital Affiliations CMS Care Compare 3

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43110 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$46.92 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$178.14 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 12

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

Family Medicine
6201 GENDER RD
CANAL WINCHESTER, OH 43110
Physician Assistant
6201 GENDER RD
CANAL WINCHESTER, OH 43110
Family Medicine
6201 GENDER RD
CANAL WINCHESTER, OH 43110
Surgery
6201 GENDER RD
CANAL WINCHESTER, OH 43110
Family Medicine
6201 GENDER RD
CANAL WINCHESTER, OH 43110
Pediatrics
6201 GENDER RD
CANAL WINCHESTER, OH 43110
Pediatrics
6201 GENDER RD
CANAL WINCHESTER, OH 43110
Family Medicine
6201 GENDER RD
CANAL WINCHESTER, OH 43110

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 Neil Makadia's NPI number?

The NPI number for Neil Makadia is 1760685242. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Neil Makadia located?

Neil Makadia practices at 6201 Gender Rd, Canal Winchester, OH 43110. The listed phone number is (614) 834-8042.

What is Neil Makadia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Neil Makadia enrolled in Medicare?

Yes. Neil Makadia 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 Neil Makadia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Neil Makadia 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 Neil Makadia affiliated with any hospitals?

According to CMS data, Neil Makadia is affiliated with Grant Medical Center, Mount Carmel East & West and Diley Ridge Medical Center.

When was this NPI record last updated?

The NPPES record for Neil Makadia was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.