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DR. RAJESH MADAN MD
NPI 1942201165
Internal Medicine in Hilliard, OH

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
4531 CEMETERY RD, HILLIARD, OH 43026(614) 527-8787(614) 527-7287 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Grant Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1942201165
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAJESH MADANCredential: MD
Location Address4531 CEMETERY RDHilliard, OH 43026-1102
Mailing Address4531 Cemetery RdHilliard, OH 43026-1102 · (614) 527-8787 · Fax (614) 527-7287
Phone(614) 527-8787
Fax(614) 527-7287
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 10, 2005
Last NPPES UpdateOctober 9, 2014
✔ NPI 1942201165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 072849
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.
4531 CEMETERY RD, Hilliard, OH 43026
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Other Identifiers 7

Medicare OSCAR/certification110151458IN
Medicare ID-Type Unspecified178110IN
Other000000108670IN · Blue Shield Reid Hosp Ekg
Medicare ID-Type Unspecified903830CCIN · Reid Hospital Ekg
Medicare UPING27811IN
Medicaid200107490IN
Medicaid0254442OH

Accepted Insurance

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

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

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.

PECOS PAC ID1759486822
PECOS Enrollment IDI20070619000236
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 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.

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.
179 services74 patients
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.
95 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

HIRAL M PATEL CNP
Nurse Practitioner
4531 CEMETERY RD
HILLIARD, OH 43026
Franklin County (614) 527-8787
RAJESH MADAN, MD, PC
Internal Medicine
4531 CEMETERY RD
HILLIARD, OH 43026
Franklin County (614) 527-8787

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.

What insurance does Rajesh Madan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer 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 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 11 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.