DR. GOPAL MADHAV (MD) – Internal Medicine Physician, NPI 1649274119

DR. GOPAL MADHAV (MD) is a healthcare provider. based in Evergreen park, Illinois. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 036-058991 (IL). The NPI Number for DR. GOPAL MADHAV (MD) is 1649274119

Main info

Male
Sole Proprietor
58 Years Of Experience
Accepts Medicare Assignment
Name
DR. GOPAL MADHAV (MD)
NPI
1649274119
Phone
(708) 423-7734
Address
3900 W 95TH ST
Enumeration Date
12 June 2005
Deactivation Date
16 March 2006
Reactivation Date
31 March 2006
Last Update Date
17 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084237734
Graduation Year
1968 (58 years ago)
PAC ID
4082738778
Professional Enrollment ID
I20100902000009

Contacts

Secure Messaging
gmadhav276183@direct.myadvocateaurora.org
FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. GOPAL MADHAV (MD)

  • 3900, West 95th Street, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States

    STE 6

    EVERGREEN PARK, IL 608051901

    Phone: (708) 423-7734

    Fax: (708) 423-3282

    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)

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: 2010-09-02

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
I20100902000009IInternal MedicineILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes640230$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit186186$0
99213Established patient office or other outpatient visit, 20-29 minutes14582$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage107107$0
G0008Administration of influenza virus vaccine107107$0
View full utilization report →

Insurance plans in this area (ZIP 60805)

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Provider's Procedures

DR. GOPAL MADHAV (MD) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL20610Aspiration and/or injection of large joint or joint capsule2220

Reviews

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Frequently asked questions

What number should I use to identify DR. GOPAL MADHAV (MD) for billing?
Administrative and clinical systems typically use NPI 1649274119 for DR. GOPAL MADHAV (MD).
Does the public listing show DR. GOPAL MADHAV (MD) as active?
DR. GOPAL MADHAV (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. GOPAL MADHAV (MD)'s listing?
DR. GOPAL MADHAV (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GOPAL MADHAV (MD)?
DR. GOPAL MADHAV (MD) shows a connection to Evergreen Park, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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