DAVID T MADURAM (MD, PHD) – Anesthesiology Physician, NPI 1083935365

DAVID T MADURAM (MD, PHD) is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials MD, PHD. They hold a License No. L-245058 (MA). The NPI Number for DAVID T MADURAM (MD, PHD) is 1083935365

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DAVID T MADURAM (MD, PHD)
NPI
1083935365
Phone
(617) 726-3030
Address
55 FRUIT ST.
Enumeration Date
21 June 2010
Last Update Date
21 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774422455
Graduation Year
2010 (16 years ago)
PAC ID
7113171414
Group Practice PAC ID
1759281165
Professional Enrollment ID
I20191105001707
Address ID
CT066064201BR2800XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for DAVID T MADURAM (MD, PHD)

  • 55 FRUIT ST.

    MASSACHUSETTS GENERAL HOSPITAL

    BOSTON, MA 02114

    Phone: (617) 726-3030

    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 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2019-11-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191105001707IAnesthesiologyCTTBD

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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2525$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope1515$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1515$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1414$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 1759281165View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
-CT
-CT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YRI
Anesthesiology, Pain ManagementNY

Reviews

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Frequently asked questions

How do I look up DAVID T MADURAM (MD, PHD) by NPI?
Use NPI 1083935365 when you need to reference DAVID T MADURAM (MD, PHD) in forms, claims, or directories.
Is DAVID T MADURAM (MD, PHD) currently active in the NPI registry?
CMS-published data lists DAVID T MADURAM (MD, PHD) as an active registrant.
What field does DAVID T MADURAM (MD, PHD) work in?
You can think of DAVID T MADURAM (MD, PHD) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID T MADURAM (MD, PHD)?
The page summarizes Boston, Massachusetts for DAVID T MADURAM (MD, PHD); expand the address list for detail.
Is DAVID T MADURAM (MD, PHD) a real provider?
This page reflects official NPPES data for NPI 1083935365. Always confirm identity and privileges with the practice and licensing boards.

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