Individual provider Active NPI

Tucker L Madden, MD

  • Family Medicine Physician
  • Bush, LA
National Provider Identifier
1093343469
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
327893 Issued in LA
Practice address
79630 Hwy 21
Bush, LA 70431
Phone
(985) 730-2252
Fax
(985) 730-2258
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 327893 LA Primary

Addresses

Primary practice location

79630 Hwy 21
Bush, LA 70431

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (985) 730-2252

Other practice location 1

1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Phone (373) 494-2023

Other practice location 2

106 Ave B Ste B
Bogalusa, LA 70427
Phone (985) 730-6970

Other identifiers 1

IdentifierTypeStateIssuer
2524828MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230605002078 LA Practitioner - Family Practice 8123458809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of the Angels Hospital IncGroup PAC ID 7012144322, 78 clinicians

Practice addresses (Care Compare)

420 Ave F
Bogalusa, LA 70427-3634
Phone (985) 730-6706

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

Hospital & facility affiliations

  • Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312

Merit-based Incentive Payment System (MIPS)

Final score
88.35 of 100Reported as group
Quality
80.15
Promoting interoperability
100
Improvement activities
40
Cost
76.19

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
79.98
Promoting interoperability
100
Improvement activities
40
Cost
64.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Apr 7, 2025 Accepting new patients
Wash-St Tammany Reg Medical Center Current Accepting new patients
Our Lady of the Angels Hospital, Inc. CurrentSince Jul 17, 2023 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

617 Avenue F
Bogalusa, LA 70427
Phone (985) 545-1070

106 Avenue B
Ste A
Bogalusa, LA 70427

1416 Gobbler Head Dr
Bogalusa, LA 70427
Phone (985) 730-6970

420 Avenue F
Bogalusa, LA 70427
Phone (985) 730-6970

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

106 Avenue B
Ste B
Bogalusa, LA 70427
Phone (985) 730-6950

79630 Highway 21
Bush, LA 70431
Phone (985) 730-2252

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: tmadden839454@direct.casso.us.com

Organizations & group practices 6

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 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1093343469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-2252",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79630 HWY 21",
            "city": "BUSH",
            "state": "LA",
            "postal_code": "70431",
            "telephone_number": "985-730-2252",
            "fax_number": "985-730-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018849",
            "country_code": "US",
            "telephone_number": "373-494-2023",
            "fax_number": "337-430-6966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Ave B Ste B",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "70427",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-545-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "TUCKER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "327893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524828",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bush, LA

Sources for this page

Verify at the official NPI Registry.