DR. NIRA AMRITA MADISI MD
NPI 1952531899
Internal Medicine - Endocrinology, Diabetes & Metabolism in Milford, DE

Q: What is Nira Madisi's NPI number?

The NPI number for Nira Madisi is 1952531899. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Q: What is Nira Madisi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Nira Madisi was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 24, 2009PECOS EnrolledAccepts Medicare Assignment

76.7/100

CMS Quality Rating

800 N DUPONT BLVD, BAYHEALTH PHYSICIANS, MILFORD, DE 19963(302) 422-1251(302) 424-6513 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2017, Apr 18, 2017 (2 updates tracked since 2017).

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About Dr. Nira Amrita Madisi Md NPPES

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

DR. NIRA AMRITA MADISI MD (NPI 1952531899) is an individual endocrinology, diabetes & metabolism provider in Milford, Delaware, licensed in Delaware (C1-0011215) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1952531899

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameDR. NIRA AMRITA MADISICredential: MD

Location Address800 N DUPONT BLVD, BAYHEALTH PHYSICIANSMilford, DE 19963-1019

Mailing Address640 S State St, Pob 3rd FloorDover, DE 19901-3530 · (302) 480-1688 · Fax (302) 257-5777

Phone(302) 422-1251

Fax(302) 424-6513

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 24, 2009

Last NPPES UpdateApril 26, 20172 updates tracked since enumeration

✔ NPI 1952531899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in DE · C1-0011215

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License P24017 (MD)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

800 N DUPONT BLVD, Milford, DE 19963

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Other Identifiers 1

Medicare PIN417028ZA5HDE

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. Nira Amrita Madisi 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 ID4486966470

PECOS Enrollment IDI20201028000267

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 11

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.

139 services133 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

56 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

37 services37 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

27 services27 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

25 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330013

Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County

Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330094

Location71 Prospect AvenueHudson, NY 12534 · Columbia County

Emergency services

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330180

Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19963 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

$131.15 typical visit price

range $57.12 – $173.08

Typical copayment $32.78 (range $14.28 – $43.27)

Most-billed visit code 99204

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

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.

76.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.96

Promoting Interoperability

Improvement Activities

Cost

61.04

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

8 suppliers30 claims331 services$18.14 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

8 suppliers29 claims770 services$2.28 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

4 suppliers28 claims28 services$168.92 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

19 suppliers49 claims123 services$6.57 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers25 claims30 services$1.13 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

3 suppliers11 claims1,300 services$6.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

COASTAL ORTHOPAEDICS, P.A.

Clinic/Center (Medical Specialty)

800 N DUPONT BLVD, SUITE 5
MILFORD, DE 19963

Sussex County (302) 422-8845

MRS. IVY ELIZABETH THOMPSON FNP-BC

Nurse Practitioner