Active NPI
Peter Madden, MD
- Internal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31595
- Practice address
- 4502 E 41St St
Tulsa, OK 74135-2536 - Phone
- (918) 619-4400
- NPI assigned
- Apr 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31595 | OK | Primary |
Addresses
Primary practice location
4502 E 41St St
Tulsa, OK 74135-2536
Mailing address
1841 E 27TH St
Tulsa, OK 74114-4201
Phone (918) 550-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101
6161 S Yale Ave
Tulsa, OK 74136-1902
Hospital & facility affiliations
- Ascension St John Medical Center
- Ascension St John Jane Phillips
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31595 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Observation Medicine Services of Oklahoma, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Usacs Critical Care Medicine of Oklahoma, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| St. John Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| St John Medical Center Inc | Past | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
4502 E 41st St
Tulsa, OK 74135
Phone (918) 579-2367
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Interoperability endpoints
- peter.madden@direct.stjohnhealthsystem.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1326739111
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Critical Care Medicine (Internal Medicine) Physician
- Broken Arrow, OK
- NPI 1255166856
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
OK
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462579200000",
"number": "1003203001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 E 27TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741144201",
"telephone_number": "918-550-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352536",
"telephone_number": "918-619-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "PETER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2016-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "31595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.