Madhavi Koka, MD
NPI 1073535589 · Hospitalist Physician · Valhalla, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madhavi Koka, MD is a Hospitalist Physician provider in Valhalla, NY (NPI 1073535589).
Provider details
- NPI number
- 1073535589
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- A100644 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
48 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 18 | $98 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 15 | $54 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $99 |
Typical Medicare-allowed amounts for these services range $54–$99 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 19191 S Vermont Ave Ste 200Torrance, CA 90502-1049Phone: (310) 354-4211
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2026-01-18
- Certified
- 2026-01-18
Frequently asked questions
- What is Madhavi Koka's NPI number?
- Madhavi Koka's National Provider Identifier (NPI) is 1073535589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madhavi Koka's specialty?
- Madhavi Koka is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Madhavi Koka located?
- Madhavi Koka's practice location on file with NPPES is 95 Grasslands Rd-Nymc, Valhalla, NY 10595.
- What is Madhavi Koka's phone number?
- The practice phone number listed in the NPPES registry for Madhavi Koka is (914) 493-8370.
- Does Madhavi Koka accept Medicare?
- Madhavi Koka is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madhavi Koka's NPI active?
- Yes — Madhavi Koka's NPI (1073535589) is active in the NPPES registry as of the last update on 2026-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.