Dr Purushothaman Madhu, MD is a medicare enrolled "Pediatrics" physician in Pulaski, Tennessee. He graduated from medical school in 1997 and has 29 years of diverse experience with area of expertise as Pediatric Medicine. His current practice location is
1265 E College St, Pulaski, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 363-7531.
Dr Purushothaman Madhu is licensed to practice in Tennessee (license number 69971) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922110113.
Physician's Profile
| Full Name | Dr Purushothaman Madhu |
|---|
| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 29 Years |
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| Location | 1265 E College St, Pulaski, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Purushothaman Madhu graduated from medical school in 1997
NPI Data:
- NPI Number: 1922110113
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325033848
- Enrollment ID: I20260304001361
Medical Identifiers
Medical identifiers for Dr Purushothaman Madhu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922110113 | NPI | - | NPPES |
| 916968941C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | N0935 (Texas) | Secondary |
| 208000000X | Pediatrics | FTL42125 (Texas) | Secondary |
| 208000000X | Pediatrics | 051976 (Georgia) | Secondary |
| 208000000X | Pediatrics | N0935 (Texas) | Secondary |
| 208000000X | Pediatrics | 295558 (New York) | Secondary |
| 208000000X | Pediatrics | 69971 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Purushothaman Madhu is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Purushothaman Madhu, MD
7319 Gentle Willow Ln,
Katy, TX 77494-0145
Ph: (346) 515-7282 | Dr Purushothaman Madhu, MD
1265 E College St,
Pulaski, TN 38478-4541
Ph: (931) 363-7531 |
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