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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MADHURA YESHWANT PHADKE MD
NPI 1932416740
Pediatrics - Pediatric Gastroenterology in Danville, PA

Active since September 01, 2010PECOS Enrolled
77.5/100
CMS Quality Rating
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6052(570) 271-6002 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 9, 2022, Dec 30, 2020, Jul 14, 2017 (3 updates tracked since 2017).

About Dr. Madhura Yeshwant Phadke Md NPPES

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

DR. MADHURA YESHWANT PHADKE MD (NPI 1932416740) is an individual pediatric gastroenterology provider in Danville, Pennsylvania, licensed in Pennsylvania (MD479055) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932416740
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. MADHURA YESHWANT PHADKECredential: MD
Location Address100 N ACADEMY AVEDanville, PA 17822-7900
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6052 · Fax (570) 271-6002
Phone(570) 271-6052
Fax(570) 271-6002
Sole ProprietorNo
Enumeration DateSeptember 1, 2010
Last NPPES UpdateOctober 20, 20263 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1932416740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in PA · MD479055✔ Licensed in OH · 35.131160✔ Licensed in CA · A168756
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License A168756 (CA)
100 N ACADEMY AVE, Danville, PA 17822
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1725 Welch RdPalo Alto, CA 94304-1601 · Phone (650) 497-8000
Location 21 Perkins SqAkron, OH 44308-1063 · Phone (330) 543-4488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madhura Yeshwant Phadke 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.

Medicare Billing Reassignment

Medicare enrollment records show Madhura Phadke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
170 mi
Urgent Care
464 ALLEGHENY BLVD, PENNWOOD CENTER
Franklin, PA 16323
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1619381456 (814) 432-9801

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

DR. TARA JEAN LOUX MD
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 214-7967
MS. DENISE K HACKMAN RD, LDN
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-5332
DR. DANIEL CARROLL GEARY MD
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6212
MS. MONISA DEANNE WAGNER
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
JESSICA LYNN CARNEY
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
CHRISTIE BUONPANE
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211
MAURA ELIZABETH GABLE D.O.
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-7910
ROSLYN MARIE FEASTER
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Montour County (570) 271-6211

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 Madhura Phadke's NPI number?

The NPI number for Madhura Phadke is 1932416740. It was assigned to this individual provider in the NPPES registry on September 1, 2010.

Where is Madhura Phadke located?

Madhura Phadke practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6052.

What is Madhura Phadke's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Madhura Phadke enrolled in Medicare?

Yes. Madhura Phadke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madhura Phadke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhura Phadke reassigns Medicare benefits to University Of Pittsburgh Physicians (Franklin, PA). The 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 Madhura Phadke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madhura Phadke accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Madhura Phadke 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 Madhura Phadke was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.