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MADI MED LLC
NPI 1861210767
Internal Medicine - Cardiovascular Disease in Escondido, CA

Active since September 30, 2024
2218 SHADYRIDGE AVE, ESCONDIDO, CA 92029(619) 213-7434(619) 215-5158 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2025, Sep 30, 2024 (2 updates tracked since 2024).

About Madi Med Llc NPPES

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

MADI MED LLC (NPI 1861210767) is a healthcare organization registered as a cardiovascular disease in Escondido, California and active in the NPI registry since September 2024. The organization lists Mohamad Ahmadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1861210767
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMADI MED LLC
Location Address2218 SHADYRIDGE AVEEscondido, CA 92029-5307
Mailing AddressPo Box 462122Escondido, CA 92046-2122 · (619) 213-7434 · Fax (619) 215-5158
Phone(619) 213-7434
Fax(619) 215-5158
Organization SubpartNo
Authorized OfficialMohamad AhmadiOwner · (619) 213-7434
Enumeration DateSeptember 30, 2024
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1861210767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2218 SHADYRIDGE AVE, Escondido, CA 92029
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madi Med Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Madi Med LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Rod Serry, M.D.
Interventional Cardiology
NPI 1912945130
1955 W CITRACADO PKWY SUITE 300
Escondido, CA 92029
(760) 743-0546
✔ PECOS✔ Accepts Medicare1.3 mi
Amanda Ahmadi, NP
Nurse Practitioner
NPI 1639889983
225 EAST SECOND AVENUE
Escondido, CA 92025
(760) 291-6700
✔ PECOS✔ Accepts Medicare2.6 mi
Mohamad Ahmadi
Nurse Practitioner
NPI 1992207062
225 EAST SECOND AVENUE
Escondido, CA 92025
(760) 291-6700
✔ PECOS✔ Accepts Medicare2.6 mi
Mary Russell, FNP
Nurse Practitioner
NPI 1265837025
1519 CLIFFTOP AVE
San Marcos, CA 92078
(760) 522-3941
✔ PECOS4.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Madi Med LLC's NPI number?

The NPI number for Madi Med LLC is 1861210767. It was assigned to this organization in the NPPES registry on September 30, 2024.

Where is Madi Med LLC located?

Madi Med LLC is located at 2218 Shadyridge Ave, Escondido, CA 92029. The listed phone number is (619) 213-7434.

What is Madi Med LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Madi Med LLC enrolled in Medicare?

Yes. Madi Med LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madi Med LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Madi Med LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Interventional Cardiology (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Madi Med LLC was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.