DR. HARRY MADHANAGOPAL (D.O.) – Family Medicine Physician, NPI 1740568278

DR. HARRY MADHANAGOPAL (D.O.) is a healthcare provider. based in Jacksonville, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 02004163A (IN). The NPI Number for DR. HARRY MADHANAGOPAL (D.O.) is 1740568278

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. HARRY MADHANAGOPAL (D.O.)
NPI
1740568278
Phone
(904) 450-6600
Address
858 MONUMENT RD
Enumeration Date
2 August 2011
Last Update Date
12 January 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9045380950
Graduation Year
2011 (15 years ago)
PAC ID
5890928899
Group Practice PAC ID
4880791375
Professional Enrollment ID
I20181019002151
Address ID
FL322569661JA9130XPKWY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. HARRY MADHANAGOPAL (D.O.)

  • 858 MONUMENT RD

    STE A

    JACKSONVILLE, FL 32225

    Phone: (904) 450-6600

    Fax: (904) 450-6369

    Type: Location

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 296-5691

    Fax: (904) 450-6401

    Type: Mailing

  • 9130 RG SKINNER

    JACKSONVILLE, FL 32256

    Phone: (049) 538-0950

    Fax: (904) 538-0952

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $459.

Total Amount is formed as General ($459) + Research ($0) + Ownership ($0) = $459.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$459

General + Research + Ownership

Payments

10

Total payment records

General Amount

$459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-19

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
I20181019002151IFamily PracticeFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes134108$0
99203New patient office or other outpatient visit, 30-44 minutes116116$0
81003Automated urinalysis test2623$0
87804Detection test by immunoassay with direct visual observation for influenza virus1917$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 32225)

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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: 4880791375View full group profile
NameSpecialtyState
Family PracticeFL
Family PracticeFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do I look up DR. HARRY MADHANAGOPAL (D.O.) by NPI?
Use NPI 1740568278 when you need to reference DR. HARRY MADHANAGOPAL (D.O.) in forms, claims, or directories.
Is DR. HARRY MADHANAGOPAL (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. HARRY MADHANAGOPAL (D.O.) work in?
You can think of DR. HARRY MADHANAGOPAL (D.O.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. HARRY MADHANAGOPAL (D.O.)?
We surface Jacksonville, Florida for DR. HARRY MADHANAGOPAL (D.O.) based on available NPPES addresses.
Is DR. HARRY MADHANAGOPAL (D.O.) a real provider?
This page reflects official NPPES data for NPI 1740568278. Always confirm identity and privileges with the practice and licensing boards.

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