RADHIKA MADAAN VERMA MD
NPI 1801898325
Internal Medicine - Sleep Medicine in Orange City, FL

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
1075 TOWN CENTER DR, ORANGE CITY, FL 32763(386) 917-0333 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Jun 6, 2025 (2 updates tracked since 2025).

About Radhika Madaan Verma Md NPPES

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

RADHIKA MADAAN VERMA MD (NPI 1801898325) is an individual sleep medicine provider in Orange City, Florida, licensed in Florida (ME87334) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1801898325
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameRADHIKA MADAAN VERMACredential: MD
Location Address1075 TOWN CENTER DROrange City, FL 32763-8360
Mailing Address1075 Town Center DrOrange City, FL 32763-8360 · (386) 917-0333
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 15, 2005
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1801898325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in FL · ME87334
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME87334 (FL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME87334 (FL)
1075 TOWN CENTER DR, Orange City, FL 32763

Other Identifiers 2

Medicaid269036500FL
Other78686FL · Bcbs Fla

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

Radhika Madaan Verma 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 ID7911899745
PECOS Enrollment IDI20040326000861
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 18

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 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.
555 services434 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
299 services276 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
299 services276 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
298 services275 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
176 services170 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.
129 services129 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40
Cost77.49

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
23 suppliers574 claims574 services$32.88 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers24 claims50 services$1.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
25 suppliers495 claims496 services$74.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
25 suppliers495 claims1,374 services$29.62 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
18 suppliers321 claims1,811 services$16.59 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
20 suppliers176 claims1,001 services$12.77 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 20

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

Nurse Practitioner (Family)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763
Internal Medicine (Pulmonary Disease)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763
Nurse Practitioner (Acute Care)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763
Internal Medicine (Pulmonary Disease)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763
Internal Medicine (Pulmonary Disease)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763
Internal Medicine (Sleep Medicine)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763
Nurse Practitioner (Acute Care)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763
Internal Medicine (Pulmonary Disease)
1075 TOWN CENTER DR
ORANGE CITY, FL 32763

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 Radhika Verma's NPI number?

The NPI number for Radhika Verma is 1801898325. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Radhika Verma located?

Radhika Verma practices at 1075 Town Center Dr, Orange City, FL 32763. The listed phone number is (386) 917-0333.

What is Radhika Verma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Radhika Verma enrolled in Medicare?

Yes. Radhika Verma 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 Radhika Verma accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Radhika Verma 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 Radhika Verma affiliated with any hospitals?

According to CMS data, Radhika Verma is affiliated with Orlando Health, Adventhealth Deland and Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for Radhika Verma was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.