Nikhil Madan
NPI 1275794448 · Critical Care Medicine (Internal Medicine) Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nikhil Madan is a Critical Care Medicine (Internal Medicine) Physician provider in Philadelphia, PA (NPI 1275794448).
Provider details
- NPI number
- 1275794448
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 125052265 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
244 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 154 | $208 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 27 | $83 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 19 | $98 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 16 | $70 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 16 | $102 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 12 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 63 | 27 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 29 | — |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 26 | — |
| Fluticasone Propionate | 20 | — |
| Umeclidinium Bromidebrand: Incruse Ellipta | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,240 across 72 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-20
- Last updated
- 2017-05-03
Frequently asked questions
- What is Nikhil Madan's NPI number?
- Nikhil Madan's National Provider Identifier (NPI) is 1275794448, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nikhil Madan's specialty?
- Nikhil Madan is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Nikhil Madan located?
- Nikhil Madan's practice location on file with NPPES is 834 Walnut St, Philadelphia, PA 19107-5109.
- What is Nikhil Madan's phone number?
- The practice phone number listed in the NPPES registry for Nikhil Madan is (215) 955-1671.
- Does Nikhil Madan accept Medicare?
- Nikhil Madan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nikhil Madan's NPI active?
- Yes — Nikhil Madan's NPI (1275794448) is active in the NPPES registry as of the last update on 2017-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.