KOZHUVATTASSERI P. MADHUSOODANAN MD – NPI #1164505624
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

KOZHUVATTASSERI MADHUSOODANAN is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1164505624 to KOZHUVATTASSERI MADHUSOODANAN on October 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 13 years ago on Feb 15, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KOZHUVATTASSERI MADHUSOODANAN below.

NPI Profile for
KOZHUVATTASSERI P. MADHUSOODANAN

NPI Number
1164505624
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KOZHUVATTASSERI P. MADHUSOODANAN
Credentials
MD
Primary location
516 DELAWARE STREET SE CLINIC 3B
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Phone: (612) 625-3600 Fax:
Mailing address
420 DELAWARE ST SE MMC 508
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Phone: (612) 625-3600 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for KOZHUVATTASSERI MADHUSOODANAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERARAZ1053385
OTHERBLUE CROSS BLUE SHIELDMN78R23MA
OTHERHEALTHPARTNERSHP31284
OTHERMEDICA CHOICE25-00413
OTHERMEDICA PRIMARY25-00021
OTHERPREFERREDONE1024914
OTHERTRIWEST/TRICAREM011
OTHERUCARE127916
MEDICAIDIA0534461
MEDICAIDMN128412600
MEDICAIDND10387
MEDICAIDSD7777470
MEDICAIDWI34017700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 MN 42532

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KOZHUVATTASSERI MADHUSOODANAN is affiliated with the following medical group(s):
  • HOSPITAL
    • FAIRVIEW LAKES HEALTH SERVICES
      5200 FAIRVIEW BOULEVARD
      WYOMING, MN 55092
    • GRAND ITASCA CLINIC AND HOSPITAL
      1601 GOLF COURSE ROAD
      GRAND RAPIDS, MN 55744
    • M HEALTH FAIRVIEW SOUTHDALE HOSPITAL
      6401 FRANCE AVENUE SOUTH
      EDINA, MN 55435
    • M HEALTH FAIRVIEW UNIVERSITY OF MN
      2450 RIVERSIDE AVENUE
      MINNEAPOLIS, MN 55454
    • UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS
      750 EAST 34TH ST
      HIBBING, MN 55746

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