NPIMap

Individual provider Active NPI

Robert C Madonna Jr., DO

  • Family Medicine Physician
  • Drexel Hill, PA
National Provider Identifier
1013931088
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008317L Issued in PA
Practice address
2504 Garrett Rd
Drexel Hill, PA 19026-1011
Phone
(484) 466-3007
Fax
(474) 466-3042
NPI assigned
Jul 26, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008317L PA Primary

Addresses

Primary practice location

2504 Garrett Rd
Drexel Hill, PA 19026-1011

Mailing address

2504 Garrett Rd
Drexel Hill, PA 19026-1011
Phone (484) 466-3007

Other names 1

  • Robert C Madonna Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080512000468 PA Practitioner - Family PracticePractitioner - Geriatric Medicine 7113006479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2504 Garrett Rd
Drexel Hill, PA 19026-1011
Phone (484) 466-3007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert C Madonna Assoc. PC CurrentSince Feb 13, 2012 Accepting new patients
Dr. Robert C Madonna Associates PC Family Medicine CurrentSince Feb 13, 2012 Accepting new patients
Springfield Operator LLC Past Accepting new patients

Locations

2504 Garrett Rd
Drexel Hill, PA 19026
Phone (484) 466-3007

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1013931088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261011",
            "telephone_number": "484-466-3007",
            "fax_number": "484-466-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GARRETT RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261011",
            "telephone_number": "484-466-3007",
            "fax_number": "474-466-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONNA",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008317L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "MADONNA",
            "middle_name": "C",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.