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MADHAV K SRIVASTAVA MD
NPI 1770565905
Psychiatry & Neurology - Neurology in Rockford, IL

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
4920 E STATE ST, ROCKFORD, IL 61108(815) 226-1906(815) 226-8474 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madhav K Srivastava Md NPPES

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

MADHAV K SRIVASTAVA MD (NPI 1770565905) is an individual neurology provider in Rockford, Illinois, licensed in Illinois (36061106) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1770565905
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMADHAV K SRIVASTAVACredential: MD
Location Address4920 E STATE STRockford, IL 61108-2272
Mailing Address4920 E State StRockford, IL 61108-2272 · (815) 226-1906 · Fax (815) 226-8474
Phone(815) 226-1906
Fax(815) 226-8474
Sole ProprietorYes
Medical School CMSOtherGraduated 1970
Enumeration DateNovember 15, 2005
Last NPPES UpdateSeptember 26, 2011
✔ NPI 1770565905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 36061106
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4920 E STATE ST, Rockford, IL 61108
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Other Names 1

Professional Name (2)Madhav Kumar Srivastava Md

Other Identifiers 6

Medicaid036061106IL
Medicare PIN657950IL
Other791133506IL · Retired Railroad
Other0010100569IL · Bcbs
Other008839IL · Health Alliance
Medicare UPINC45565

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

Madhav K Srivastava 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 ID2860596863
PECOS Enrollment IDI20070402000042
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 13

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

SEAN MICHAEL WEST
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-0086
UMA SRIVASTAVA MD
Psychiatry & Neurology (Psychiatry)
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-1906
CASSANDRA A BARNETT LSW
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-9002
TERRY R ROTH MD PC
Clinic/Center
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 226-1906
CYDNEY LUHMAN
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (608) 301-7130
BRITTNEY HENSLEY
Social Worker
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (608) 301-7131
TAMARA ALICE VODNANSKY LCSW
Social Worker (Clinical)
4920 E STATE ST
ROCKFORD, IL 61108
Winnebago County (815) 227-9002
TENDER LOVING CARE SERVICES MIDWEST, LLC
Home Health
4920 E STATE ST, SUITE 2
ROCKFORD, IL 61108
Winnebago County (815) 229-2605

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 Madhav Srivastava's NPI number?

The NPI number for Madhav Srivastava is 1770565905. It was assigned to this individual provider in the NPPES registry on November 15, 2005. The provider is also known as Madhav Kumar Srivastava MD.

Where is Madhav Srivastava located?

Madhav Srivastava practices at 4920 E State St, Rockford, IL 61108. The listed phone number is (815) 226-1906.

What is Madhav Srivastava's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Madhav Srivastava enrolled in Medicare?

Yes. Madhav Srivastava 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 Madhav Srivastava was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.