DR. MADHU MENON (MD) – Family Medicine Physician, NPI 1396706131

DR. MADHU MENON (MD) is a healthcare provider. based in Newport, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD061440L (PA). The NPI Number for DR. MADHU MENON (MD) is 1396706131

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. MADHU MENON (MD)
NPI
1396706131
Phone
(717) 567-3174
Address
300 BRETZ CT STE 100
Enumeration Date
31 March 2006
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175673174
Graduation Year
1978 (48 years ago)
PAC ID
5799724811
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20050428000408
Address ID
PA170748614NE300XXCTXX300

Contacts

Secure Messaging
mmenon5904@phsdirect.pinnaclehealth.org
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

6,103 FAMILY PRACTICE in PA

Provider Addresses for DR. MADHU MENON (MD)

  • 300 BRETZ CT STE 100

    NEWPORT, PA 170748615

    Phone: (717) 567-3174

    Fax: (717) 703-0018

    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: 2005-04-28

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
I20050428000408IFamily PracticePATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes277138$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes24867$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes6665$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5030$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2622$0
View full utilization report →

Insurance plans in this area (ZIP 17074)

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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: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
Family PracticePA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

Does DR. MADHU MENON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MADHU MENON (MD) uses 1396706131.
Does the file indicate DR. MADHU MENON (MD) is practicing under active NPI?
Directory data currently reports DR. MADHU MENON (MD) as active.
What healthcare role does DR. MADHU MENON (MD) hold?
Scheduling teams often label DR. MADHU MENON (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MADHU MENON (MD) based?
DR. MADHU MENON (MD) is tied to Newport, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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