Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mahesh Vasantha Madhavan

Individual provider Cardiovascular Disease Physician · NPI 1104244102

Dr. Mahesh Vasantha Madhavan is an Interventional Cardiology in New York, New York. Graduated from Columbia University College of Physicians and Surgeons in 2014, 12 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

161 Fort Washington Ave
New York, NY 10032-3729
Phone: (212) 305-5960
Fax: (212) 305-8466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 E Main St, Middletown, NY 10940-2650 — (845) 333-7575

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 288950 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 288950 (NY)

Record details

NPI number1104244102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2014 (12 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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