RAMANATHAN MADRAS SESHADRI M.D.
NPI 1891969937
Surgery - Surgical Oncology in Danbury, CT

Active since April 18, 2008PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
24 HOSPITAL AVE, DANBURY, CT 06810(203) 739-7000 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Oct 3, 2020 (2 updates tracked since 2020).

About Ramanathan Madras Seshadri M.d. NPPES

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

RAMANATHAN MADRAS SESHADRI M.D. (NPI 1891969937) is an individual surgical oncology provider in Danbury, Connecticut, licensed in Connecticut (66791) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Norwalk, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891969937
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameRAMANATHAN MADRAS SESHADRICredential: M.D.
Location Address24 HOSPITAL AVEDanbury, CT 06810-6099
Mailing Address24 Stevens StNorwalk, CT 06850-3852 · (203) 845-4811 · Fax (203) 899-5096
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 18, 2008
Last NPPES UpdateOctober 12, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
NPI 1891969937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in CT · 66791
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 2013-00912 (NC)
24 HOSPITAL AVE, Danbury, CT 06810

Secondary Practice Location 1

Location 124 Stevens StNorwalk, CT 06850-3852 · Phone (203) 845-4811 · Fax (203) 899-5096

Other Identifiers 2

MedicaidNC1866SC
Medicaid1891969937NC

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

Ramanathan Madras Seshadri M.d. 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 ID9032343868
PECOS Enrollment IDI20201118002703
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 7

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 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.
45 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients
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.
17 services16 patients
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.
16 services15 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
16 services16 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
42%26 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%32 patients3/55-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.

Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
24 HOSPITAL AVE
DANBURY, CT 06810
Physician Assistant (Surgical)
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Practitioner (Acute Care)
24 HOSPITAL AVE
DANBURY, CT 06810
Anesthesiology
24 HOSPITAL AVE
DANBURY, CT 06810
Internal Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810

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 Ramanathan Madras Seshadri's NPI number?

The NPI number for Ramanathan Madras Seshadri is 1891969937. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Ramanathan Madras Seshadri located?

Ramanathan Madras Seshadri practices at 24 Hospital Ave, Danbury, CT 06810. The listed phone number is (203) 739-7000.

What is Ramanathan Madras Seshadri's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Ramanathan Madras Seshadri enrolled in Medicare?

Yes. Ramanathan Madras Seshadri 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 Ramanathan Madras Seshadri was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.