Individual provider Active NPI

M Angela Madden, MD

  • Internal Medicine Physician
  • Wilton Manors, FL
National Provider Identifier
1083720957
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79511 Issued in FL
Practice address
1700 NE 26TH St Ste 4
Wilton Manors, FL 33305-1430
Phone
(954) 563-3158
Fax
(954) 563-5874
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 ME79511 FL Primary

Addresses

Primary practice location

1700 NE 26TH St Ste 4
Wilton Manors, FL 33305-1430

Mailing address

1700 NE 26TH St Ste 4
Wilton Manors, FL 33305-1430
Phone (954) 563-3158

Other identifiers 7

IdentifierTypeStateIssuer
51661XOtherFLMEDICARE PTAN
0007432187OtherFLUNITED HEALTH CARE
CK2070OtherFLRAILROAD MEDICARE
51661OtherFLBCBS OF FLORIDA
0463133OtherFLAETNA
034933OtherFLNEIGHBORHOOD
181480423086OtherFLHUMANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000677 FL Practitioner - Internal Medicine 4486790359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1700 NE 26TH St
Suite 4
Fort Lauderdale, FL 33305-1430
Phone (954) 563-3158

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

Hospital & facility affiliations

  • Care on Call Home Healthcare, Inc. Home health agency, Oakland Park, FL, CCN 109297
  • All Health Care Services Inc Home health agency, Hollywood, FL, CCN 687312
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M Angela Madden LLC Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients

Locations

1130 Bayview Dr
Ft Lauderdale, FL 33304
Phone (954) 563-3158

1700 NE 26th St
Ste 4
Wilton Manors, FL 33305
Phone (954) 563-3158

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17224/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.madden.1@17224.direct.athenahealth.com

Organizations & group practices 1

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 10

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1083720957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NE 26TH ST STE 4",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051430",
            "telephone_number": "954-563-3158",
            "fax_number": "954-563-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NE 26TH ST STE 4",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051430",
            "telephone_number": "954-563-3158",
            "fax_number": "954-563-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "M",
        "middle_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "51661X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0007432187",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2070",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "51661",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0463133",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "034933",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "181480423086",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.