MADHU C JAGADISH (P.A.C.) – Physician Assistant, NPI 1679585343

MADHU C JAGADISH (P.A.C.) is a healthcare provider. based in Bloomfield hills, Michigan. specializing in Physician Assistant. They hold the professional credentials P.A.C.. They hold a License No. 5601002987 (MI). The NPI Number for MADHU C JAGADISH (P.A.C.) is 1679585343

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MADHU C JAGADISH (P.A.C.)
NPI
1679585343
Phone
(248) 943-1644
Address
3893 GLEN FALLS DR
Enumeration Date
12 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482416514
Graduation Year
1998 (28 years ago)
PAC ID
5698677664
Group Practice PAC ID
8628047123
Professional Enrollment ID
I20050831000751
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MADHU C JAGADISH (P.A.C.)

  • 3893, Glen Falls Drive, Wabeek North, Bloomfield Hills, Oakland County, Michigan, 48302, United States

    BLOOMFIELD HILLS, MI 483021226

    Phone: (248) 943-1644

    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 20 Open Payments records for all available years, with a total value of $455.

Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($138).

Total Amount

$455

General + Research + Ownership

Payments

20

Total payment records

General Amount

$455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2005-08-31

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
I20050831000751IPhysician AssistantMITBD

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 minutes19988$0
99213Established patient office or other outpatient visit, 20-29 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 48302)

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Provider's Procedures

MADHU C JAGADISH (P.A.C.) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI90792Psychiatric diagnostic evaluation with medical services8888

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: 8628047123View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MADHU C JAGADISH (P.A.C.)?
The federal identifier for MADHU C JAGADISH (P.A.C.) is NPI 1679585343.
Does this profile mean MADHU C JAGADISH (P.A.C.) is currently active?
Yes — MADHU C JAGADISH (P.A.C.) appears active in the national provider directory.
Does MADHU C JAGADISH (P.A.C.) list a primary specialty?
If you are matching referrals, note Physician Assistant for MADHU C JAGADISH (P.A.C.). Clinical services aligned with this taxonomy classification.
Does MADHU C JAGADISH (P.A.C.) practice in Michigan?
You will see Bloomfield Hills, Michigan on file for MADHU C JAGADISH (P.A.C.) alongside any extra practice locations.
What if Bloomfield Hills, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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