DR. MADHURA YESHWANT PHADKE MD
NPI 1932416740
Pediatrics - Pediatric Gastroenterology in Palo Alto, CA
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 Palo Alto, California, licensed in California (A168756) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Akron.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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).
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.
East Liverpool, OH 43920
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
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 94304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 725 Welch Rd, Palo Alto, CA 94304. The listed phone number is (650) 497-8000.
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 (East Liverpool, OH). 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, Ambetter Health of Delaware 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 December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Madhura Yeshwant Phadke, MD · NPI 1932416740
Pediatric Gastroenterology physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since September 1, 2010.
## Identity
- **NPI:** 1932416740 (Entity type: Individual)
- **Enumerated:** September 1, 2010
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** A168756 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 WELCH RD, Palo Alto, CA 94304-1601
- **Phone:** (650) 497-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Pittsburgh Physicians (NPI 1811945793, East Liverpool, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1932416740) · Data from the CMS NPPES public registry.