MADHUWANI SUGUNA ROJULPOTE MD
NPI 1396325734
Hospitalist in Jefferson Hills, PA
NPI Status: Active since April 09, 2021
Contact Information
565 COAL VALLEY RD
JEFFERSON HILLS, PA
ZIP 15025
Phone: (412) 469-5000
- Individual
- Female
- Hospitalist
- PECOS Enrolled
About MADHUWANI ROJULPOTE
This page provides the complete NPI Profile along with additional information for Madhuwani Rojulpote, a provider established in Jefferson Hills, Pennsylvania with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1396325734 assigned on April 2021. The practitioner's primary taxonomy code is 208M00000X with license number MD485376 (PA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1396325734
- Provider Name
- MADHUWANI SUGUNA ROJULPOTE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025
- Location Phone
- (412) 469-5000
- Mailing Address
- 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025
- Mailing Phone
- (412) 469-5000
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-09-2021
- Last Update Date
- 09-11-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD485376
- License State
- PA
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | MD485376 (PA) |
Medicare Participation & PECOS Enrollment Status
Madhuwani Rojulpote is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15025 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 3 | 2 | 5 | 7 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 6 | 2 | 10 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 6 + 2 + 1 + 0 + 7 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1396325734 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336117787 | JEFFERSON REGIONAL MEDICAL CENTER Organization | General Acute Care Hospital | 565 COAL VALLEY RD CLAIRTON, PA 15025 (412) 205-6050 |
| 1245289131 | EMERGENCY PHYSICIANS OF PITTSBURGH, LTD Organization | Emergency Medicine (Emergency Medical Services) | 565 COAL VALLEY RD CLAIRTON, PA 15025 (412) 469-5959 |
| 1447266358 | MRS. GEORGANNE MACKULIN RD Individual | Dietitian, Registered | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-5797 |
| 1164538583 | MAHPAREH G MOSTOUFIZADEH MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 565 COAL VALLEY RD CLAIRTON, PA 15025 (412) 469-5728 |
| 1154450179 | JRMC PHYS SERV CORP Organization | Internal Medicine | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-7932 |
| 1922205012 | THERESA ANN MAZUR Individual | Physician Assistant | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-7669 |
| 1629261755 | JASON K WONG MD Individual | Emergency Medicine | 565 COAL VALLEY RD JEFFERSON REGIONAL MEDICAL CENTER CLAIRTON, PA 15025 (412) 469-5959 |
| 1508000829 | JRMC PHYSICIAN SERVICES CORPORATION Organization | Physician Assistant | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-7932 |
| 1447579800 | HEATHER LEIGH NOVAK PHARMD Individual | Pharmacist | 565 COAL VALLEY RD CLAIRTON, PA 15025 (412) 469-5000 |
| 1366488108 | JEFFERSON REGIONAL MEDICAL CENTER Organization | General Acute Care Hospital | 565 COAL VALLEY RD CLAIRTON, PA 15025 (412) 267-6050 |
| 1235518499 | AHN EMERGENCY GROUP OF JEFFERSON LTD Organization | Emergency Medicine | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (330) 493-4443 |
| 1346780152 | RAFAEL ORTIZ H.I.S. Individual | Hearing Instrument Specialist | 565 COAL VALLEY RD SUITE 201 CLAIRTON, PA 15025 (412) 469-9754 |
| 1154632305 | DR. SAMER MURAD FADL M.D. Individual | Radiology (Vascular & Interventional Radiology) | 565 COAL VALLEY RD CLAIRTON, PA 15025 (412) 230-8200 |
| 1639499536 | SCOTT GLAZIER M.D. Individual | Emergency Medicine | 565 COAL VALLEY RD CLAIRTON, PA 15025 (412) 469-5911 |
| 1679914493 | BENMICHAEL OLUSOLA IDOWU D.O. Individual | Internal Medicine | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 267-6810 |
| 1609261791 | FAYE TOMIMBANG PEDERSEN MD Individual | Emergency Medicine | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-5000 |
| 1720561681 | DEBRA GABLE YALE Individual | Registered Nurse (Critical Care Medicine) | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-5000 |
| 1144492737 | DR. KRISTI LYNN RAIN-JARAS MD Individual | Internal Medicine | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 510-6887 |
| 1497226815 | GORDON HUGHES WATKINS III PHARMD Individual | Pharmacist | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-5265 |
| 1821562653 | STEPHANIE KAYDA Individual | Pharmacist | 565 COAL VALLEY RD JEFFERSON HILLS, PA 15025 (412) 469-5000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396325734, enumerated in the NPI registry as an "individual" on April 09, 2021
The provider is located at 565 Coal Valley Rd Jefferson Hills, Pa 15025 and the phone number is (412) 469-5000
The provider's speciality is Hospitalist with taxonomy code 208M00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.34 with an average copayment of $31.58 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 09, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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