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DR. SANJAY K MADAN MD
NPI 1912096645
Internal Medicine in Clearwater, FL

Active since October 12, 2006PECOS EnrolledCLIA 10D0992444 · Waiver
3190 N MCMULLEN BOOTH RD, SUITE 201, CLEARWATER, FL 33761(727) 669-2969(727) 669-7460 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Sanjay K Madan Md NPPES

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

DR. SANJAY K MADAN MD (NPI 1912096645) is an individual internal medicine provider in Clearwater, Florida, licensed in Florida (ME0073402) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through October 16, 2027.

NPPES Registry Identity

NPI1912096645
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAY K MADANCredential: MD
Location Address3190 N MCMULLEN BOOTH RD, SUITE 201Clearwater, FL 33761-2013
Mailing Address3190 N Mcmullen Booth Rd, Suite 201Clearwater, FL 33761-2013 · (727) 669-2969 · Fax (727) 669-7460
Phone(727) 669-2969
Fax(727) 669-7460
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 20, 2010
✔ NPI 1912096645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0073402
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3190 N MCMULLEN BOOTH RD, Clearwater, FL 33761
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING46689
Medicare ID-Type UnspecifiedK4195FL · Group
Medicaid257472100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Sanjay K Madan 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0992444

Sanjay K Madan MD PA · Clearwater, FL
Active · expires Oct 16, 2027
CLIA Number10D0992444
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorSanjay K. Madan MD
Laboratory Phone(727) 669-2969
Laboratory LocationSanjay K Madan MD PA3190 Mcmullen Booth Rd, Clearwater, FL 33761
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33761 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.

Other Providers at the Same Location NPPES 8

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

ALLHEALTH PRIMARY CARE LLC
Internal Medicine
3190 N MCMULLEN BOOTH RD, SUITE 201
CLEARWATER, FL 33761
Pinellas County (727) 669-2969
ALLHEALTH PRIMARY CARE LLC
Internal Medicine
3190 N MCMULLEN BOOTH RD, SUITE 201
CLEARWATER, FL 33761
Pinellas County (727) 669-2969
DR. MAHA LEWIS M.D.
Family Medicine (Adult Medicine)
3190 N MCMULLEN BOOTH RD, SUITE 203
CLEARWATER, FL 33761
Pinellas County (727) 723-1910
DELIA M TRONCOSO M.S., CCC-SLP
Speech-Language Pathologist
3190 N MCMULLEN BOOTH RD, SUITE 100
CLEARWATER, FL 33761
Pinellas County (727) 791-1368
MICHAEL D MURPHY AU. D.
Audiologist
3190 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
Pinellas County (727) 441-3588
JCS MEDICAL ASSOCIATES PLC
Legal Medicine
3190 N MCMULLEN BOOTH RD, SUITE 203
CLEARWATER, FL 33761
Pinellas County (727) 723-1910
ATTA U BUTT PA
Internal Medicine
3190 N MCMULLEN BOOTH RD, SUITE 201
CLEARWATER, FL 33761
Pinellas County (727) 741-5538
PATRICIA ST. JOHN M.D.
Obstetrics & Gynecology
3190 N MCMULLEN BOOTH RD, SUITE 200
CLEARWATER, FL 33761
Pinellas County (727) 447-7786

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 Sanjay Madan's NPI number?

The NPI number for Sanjay Madan is 1912096645. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Sanjay Madan located?

Sanjay Madan practices at 3190 N Mcmullen Booth Rd Suite 201, Clearwater, FL 33761. The listed phone number is (727) 669-2969.

What is Sanjay Madan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanjay Madan enrolled in Medicare?

Yes. Sanjay Madan is registered in the Medicare PECOS enrollment system.

Does Sanjay Madan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0992444) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sanjay Madan accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sanjay Madan 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 Sanjay Madan was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.