KINJAL S. MADHAV (M.D.) – Sleep Medicine (Family Medicine) Physician, NPI 1124385182
Sleep Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for KINJAL S. MADHAV (M.D.)
6010 HIDDEN VALLEY RD STE 200
CARLSBAD, CA 920114219
Phone: (760) 631-3000
Fax: (760) 270-9534
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $4,511.
Total Amount is formed as General ($4,511) + Research ($0) + Ownership ($0) = $4,511.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($1,536).
Total Amount
$4,511
General + Research + Ownership
Payments
127
Total payment records
General Amount
$4,511
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HARMONY BIOSCIENCES LLC | $1,536 |
| Inspire Medical Systems, Inc. | $602 |
| JAZZ PHARMACEUTICALS INC. | $243 |
| Abbott Laboratories | $176 |
| UCB, Inc. | $138 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161005002416 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 360 | 264 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 313 | 243 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 166 | 166 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 147 | 17 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 84 | 83 | $0 |
Insurance plans in this area (ZIP 92011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| N E U R O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Clinical Psychologist | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| N E U R O L O G Y | CA | |
| Physician Assistant | CA | |
| - | CA | |
| N E U R O L O G Y | CA |
Reviews
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