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DR. NALINI A MADIWALE MD
NPI 1770560658
Ophthalmology - Glaucoma Specialist in Albany, NY

Active since December 30, 2005PECOS Enrolled
75.8/100
CMS Quality Rating
3 ATRIUM DR, SUITE 100, ALBANY, NY 12205(518) 438-5273(518) 438-5398 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nalini A Madiwale Md NPPES

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

DR. NALINI A MADIWALE MD (NPI 1770560658) is an individual glaucoma specialist in Albany, New York, licensed in New York (198496) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770560658
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameDR. NALINI A MADIWALECredential: MD
Location Address3 ATRIUM DR, SUITE 100Albany, NY 12205-1417
Mailing Address2500 Pond Vw, Suite 101S Schodack, NY 12033-9750 · (518) 477-2391 · Fax (518) 477-2393
Phone(518) 438-5273
Fax(518) 438-5398
Sole ProprietorNo
Enumeration DateDecember 30, 2005
Last NPPES UpdateMarch 27, 2017
✔ NPI 1770560658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License✔ Licensed in NY · 198496
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 198496 (NY)
3 ATRIUM DR, Albany, NY 12205
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINA58603
Medicare PINJ400006187
Medicare ID-Type UnspecifiedBB8080NY
Medicaid01665278NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nalini A Madiwale Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12205 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.87
Improvement Activities40
Cost23.24

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
58%73 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. PATRICK J MOTTOLESE D.D.S.
Dentist (General Practice)
3 ATRIUM DR, SUITE 215
ALBANY, NY 12205
Albany County (518) 459-4390
ALBANY TROY CATARACT & LASER ASSOCIATES
Eyewear Supplier
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 438-5273
EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
3 ATRIUM DR, SUITE 150
ALBANY, NY 12205
Albany County (518) 453-2361
UPSTATE NEUROLOGY CONSULTANTS LLP
Psychiatry & Neurology (Neurology)
3 ATRIUM DR, SUITE 200
ALBANY, NY 12205
Albany County (518) 438-0922
DR. HEATHER L. DEERE OD
Optometrist
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 438-5273
DR. MANIJEH CONTRACTOR M.D
Ophthalmology (Neuro-ophthalmology)
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 438-5273
DR. NICHOLAS WILLIAM VEROLA M.D.
Ophthalmology
3 ATRIUM DR, SUITE 100
ALBANY, NY 12205
Albany County (518) 438-5273
THOMAS NICCOLLA CONSULTING SERVICES, PLLC
Clinic/Center (Physical Therapy)
3 ATRIUM DR, SUITE 110
ALBANY, NY 12205
Albany County (518) 482-1748

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 Nalini Madiwale's NPI number?

The NPI number for Nalini Madiwale is 1770560658. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Nalini Madiwale located?

Nalini Madiwale practices at 3 Atrium Dr Suite 100, Albany, NY 12205. The listed phone number is (518) 438-5273.

What is Nalini Madiwale's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Nalini Madiwale enrolled in Medicare?

Yes. Nalini Madiwale is registered in the Medicare PECOS enrollment system.

What insurance does Nalini Madiwale accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Nalini Madiwale 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.

When was this NPI record last updated?

The NPPES record for Nalini Madiwale was last updated on March 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.