PAVAN K MADAN (M.D.) – Psychiatry Physician, NPI 1922319573

PAVAN K MADAN (M.D.) is a healthcare provider. based in Davis, California. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 134176 (CA). The NPI Number for PAVAN K MADAN (M.D.) is 1922319573

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
PAVAN K MADAN (M.D.)
NPI
1922319573
Phone
(530) 297-7500
Address
1712 PICASSO AVE STE D
Enumeration Date
29 June 2010
Last Update Date
28 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302977500
Graduation Year
2006 (20 years ago)
PAC ID
8325355134
Group Practice PAC ID
0143478305
Professional Enrollment ID
I20150910002681
Address ID
CA956187848DA1590XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,134 PSYCHIATRY in CA

Provider Addresses for PAVAN K MADAN (M.D.)

  • 1712 PICASSO AVE STE D

    DAVIS, CA 956180546

    Phone: (530) 297-7500

    Fax: (530) 297-7751

    Type: Location

  • 3835 N FREEWAY BLVD STE 100

    SACRAMENTO, CA 958341954

    Phone: (916) 576-7900

    Fax: (916) 285-0338

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-09-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150910002681IPsychiatryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95618)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143478305View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Marriage And Family TherapistCA
P S Y C H I A T R YCA
Nurse PractitionerFL
P S Y C H I A T R YNC
Nurse PractitionerCA

Reviews

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Frequently asked questions

What number should I use to identify PAVAN K MADAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1922319573 for PAVAN K MADAN (M.D.).
Is PAVAN K MADAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists PAVAN K MADAN (M.D.) as active.
What type of care does PAVAN K MADAN (M.D.) provide?
PAVAN K MADAN (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to PAVAN K MADAN (M.D.)?
PAVAN K MADAN (M.D.) is associated with Davis, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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