DR. RAJESH MADAN MD
NPI 1942201165
Internal Medicine in Hilliard, OH
About Dr. Rajesh Madan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAJESH MADAN MD (NPI 1942201165) is an individual internal medicine provider in Hilliard, Ohio, licensed in Ohio (072849) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Rajesh Madan Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Rajesh Madan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hilliard, OH 43026
- Reassigned Medicare billing, Ohio enrollment
- 2 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHDoctors Hospital
Acute Care Hospitals · Columbus, OHDublin Methodist Hospital
Acute Care Hospitals · Dublin, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
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 Rajesh Madan's NPI number?
The NPI number for Rajesh Madan is 1942201165. It was assigned to this individual provider in the NPPES registry on August 10, 2005.
Where is Rajesh Madan located?
Rajesh Madan practices at 4531 Cemetery Rd, Hilliard, OH 43026. The listed phone number is (614) 527-8787.
What is Rajesh Madan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Rajesh Madan enrolled in Medicare?
Yes. Rajesh Madan 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.
Which organization bills Medicare for Rajesh Madan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rajesh Madan reassigns Medicare benefits to Rajesh Madan, MD, PC (Hilliard, 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 Rajesh Madan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rajesh Madan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Rajesh 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.
Is Rajesh Madan affiliated with any hospitals?
According to CMS data, Rajesh Madan is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital and Dublin Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Rajesh Madan was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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. Rajesh Madan, MD · NPI 1942201165
Internal Medicine physician in Hilliard, Ohio. Individual provider, active in the CMS NPPES registry since August 10, 2005.
## Identity
- **NPI:** 1942201165 (Entity type: Individual)
- **Enumerated:** August 10, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 072849 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4531 CEMETERY RD, Hilliard, OH 43026-1102
- **Phone:** (614) 527-8787 · **Fax:** (614) 527-7287
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rajesh Madan, MD, PC (NPI 1720103005, Hilliard, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** October 9, 2014
- **Other identifiers:** Medicare OSCAR/certification 110151458 (IN); Medicare ID-Type Unspecified 178110 (IN); Other 000000108670 (IN); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1942201165) · Data from the CMS NPPES public registry.