VALSA MADHAVA MD
NPI 1992820930
Internal Medicine in New York, NY

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
15 E 40TH ST RM 201, NEW YORK, NY 10016(646) 397-5988 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2022, Sep 18, 2019 (2 updates tracked since 2019).

About Valsa Madhava Md NPPES

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

VALSA MADHAVA MD (NPI 1992820930) is an individual internal medicine provider in New York, New York, licensed in New York (190822-1) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St John's Riverside Hospital, and maintains a secondary practice location in Bronxville.

NPPES Registry Identity

NPI1992820930
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVALSA MADHAVACredential: MD
Location Address15 E 40TH ST RM 201New York, NY 10016-0408
Mailing Address15 E 40th St Rm 201New York, NY 10016-0408 · (646) 397-5988
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1987
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
NPI 1992820930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 190822-1
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.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 190822 (NY)
15 E 40TH ST RM 201, New York, NY 10016

Secondary Practice Location 1

Location 150 Sagamore Rd Apt A9Bronxville, NY 10708-1543 · Phone (646) 450-3504

Accepted 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

Valsa Madhava 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 ID5698874006
PECOS Enrollment IDI20070626000656
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.

Hospital Affiliations CMS Care Compare

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

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.98
Improvement Activities40

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
15 E 40TH ST RM 201
NEW YORK, NY 10016

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 Valsa Madhava's NPI number?

The NPI number for Valsa Madhava is 1992820930. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Valsa Madhava located?

Valsa Madhava practices at 15 E 40th St Rm 201, New York, NY 10016. The listed phone number is (646) 397-5988.

What is Valsa Madhava's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Valsa Madhava enrolled in Medicare?

Yes. Valsa Madhava 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 Valsa Madhava accept?

Health plans from Providence Health Plan list Valsa Madhava 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 Valsa Madhava affiliated with any hospitals?

According to CMS data, Valsa Madhava is affiliated with St John's Riverside Hospital.

When was this NPI record last updated?

The NPPES record for Valsa Madhava was last updated on December 21, 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.