MADHUMATHI RAO (M.D.) – Nephrology Physician, NPI 1083653083
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 NEPHROLOGY in KY
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Provider Addresses for MADHUMATHI RAO (M.D.)
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
LEXINGTON, KY 405367001
Phone:
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 18 Open Payments records for all available years, with a total value of $9,079.
Total Amount is formed as General ($9,079) + Research ($0) + Ownership ($0) = $9,079.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($8,637).
Total Amount
$9,079
General + Research + Ownership
Payments
18
Total payment records
General Amount
$9,079
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kyowa Kirin, Inc. | $8,637 |
| Amgen Inc. | $250 |
| Radius Health, Inc. | $108 |
| Alexion Pharmaceuticals, Inc. | $49 |
| Ascendis Pharma Inc | $35 |
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: 2017-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061129000094 | I | Nephrology | MA | TBD |
| I20171120003007 | I | Nephrology | KY | 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 |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 371 | 371 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 240 | 168 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 76 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 39 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | 42 | $0 |
Insurance plans in this area (ZIP 40536)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | KY | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 81 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KY | |
| A N E S T H E S I O L O G Y | FL | |
| Pediatric Medicine | KY | |
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Critical Care (Intensivists), Pulmonary Disease | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Internal Medicine | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| Pediatric Medicine, Internal Medicine | KY |
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