Individual provider Active NPI

Madison Buda

  • Physician Assistant
  • Keizer, OR
National Provider Identifier
1073058368
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5100 River Rd N
Keizer, OR 97303-5371
Phone
(503) 393-2533
NPI assigned
Dec 22, 2016
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

5100 River Rd N
Keizer, OR 97303-5371

Mailing address

5100 River Rd N
Keizer, OR 97303-5371
Phone (503) 393-2533

Other names 1

  • Madison Stark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214001112 OR Practitioner - Physician Assistant 4486937679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
91.7
Promoting interoperability
97
Improvement activities
40
Cost
66.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Jan 1, 2020 Accepting new patients

Locations

5100 River Rd N
Keizer, OR 97303
Phone (503) 393-2533

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1073058368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035371",
            "telephone_number": "503-393-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035371",
            "telephone_number": "503-393-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDA",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "STARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.