Nira Madisi, MD
NPI 1952531899 · Endocrinology, Diabetes & Metabolism Physician · Milford, DE
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nira Madisi, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Milford, DE (NPI 1952531899).
Provider details
- NPI number
- 1952531899
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- P24017 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
418 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 139 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 56 | $118 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 42 | $126 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 37 | $158 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 27 | $78 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 278 | 84 |
| Tirzepatidebrand: Mounjaro | 126 | 34 |
| Semaglutidebrand: Ozempic | 126 | 37 |
| Empagliflozinbrand: Jardiance | 117 | 31 |
| Levothyroxine Sodiumbrand: Synthroid | 103 | 31 |
| Metformin Hclbrand: Metformin Hcl Er |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$459 across 7 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
- 2009-07-24
- Last updated
- 2017-04-26
Frequently asked questions
- What is Nira Madisi's NPI number?
- Nira Madisi's National Provider Identifier (NPI) is 1952531899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nira Madisi's specialty?
- Nira Madisi is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Nira Madisi located?
- Nira Madisi's practice location on file with NPPES is 800 N Dupont Blvd, Milford, DE 19963-1019.
- What is Nira Madisi's phone number?
- The practice phone number listed in the NPPES registry for Nira Madisi is (302) 422-1251.
- Does Nira Madisi accept Medicare?
- Nira Madisi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nira Madisi's NPI active?
- Yes — Nira Madisi's NPI (1952531899) is active in the NPPES registry as of the last update on 2017-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.