NPIMap

Individual provider Active NPI

Lisa Marie Madsen, M.D.

  • Internal Medicine Physician
  • Lenexa, KS
National Provider Identifier
1003808320
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0227370 Issued in KS
Practice address
23351 Prairie Star Pkwy
Suite A245
Lenexa, KS 66227-6201
Phone
(913) 676-8630
Fax
(913) 676-8635
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0227370 KS Primary

Addresses

Primary practice location

23351 Prairie Star Pkwy
Suite A245
Lenexa, KS 66227-6201

Mailing address

23351 Prairie Star Pkwy
Suite A245
Lenexa, KS 66227-6201
Phone (913) 676-8630

Other identifiers 3

IdentifierTypeStateIssuer
31640017OtherMOBCBS KC
102585OtherBC KS
2087636301MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000701 KS Practitioner - Internal MedicinePractitioner - Family Practice 5597835223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

100 E Kansas St
Suite C
Lansing, KS 66043-1610
Phone (913) 758-0283

23401 Prairie Star Pkwy
Suite 230B
Lenexa, KS 66227-7268
Phone (913) 676-8500

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue236
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0227370KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center, Inc. CurrentSince Apr 8, 2020 Accepting new patients
Shawnee Mission Medical Center Inc Internal Medicine CurrentSince Jan 2, 2014 Accepting new patients
Shawnee Mission Medical Center, Inc. Internal Medicine CurrentSince Apr 8, 2020 Accepting new patients
Prime Healthcare Physician Services - Providence Inc Internal Medicine Past Accepting new patients
Providence Care Inc Internal Medicine Past Accepting new patients

Locations

7315 E Frontage Rd
Ste 202
Merriam, KS 66204

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

  • Direct secure messaging: lmadsen661875@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1003808320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY",
            "address_2": "SUITE A245",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662276201",
            "telephone_number": "913-676-8630",
            "fax_number": "913-676-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY",
            "address_2": "SUITE A245",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662276201",
            "telephone_number": "913-676-8630",
            "fax_number": "913-676-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0227370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "31640017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC KS",
            "identifier": "102585",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2087636301",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.