Individual provider Active NPI

Cory Madigan, MD

  • Clinical Cardiac Electrophysiology Physician
  • Jbsa Fort Sam Houston, TX
National Provider Identifier
1104237635
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
28967 Issued in NE
Practice address
3551 Roger Brooke Drive
McHe-ZDM-C Cardiology Service
Jbsa Fort Sam Houston, TX 78234-4504
Phone
(210) 916-0935
Fax
(210) 916-3051
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 28967 NE Primary

Addresses

Primary practice location

3551 Roger Brooke Drive
McHe-ZDM-C Cardiology Service
Jbsa Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Drive
McHe-ZDM-C Cardiology Service
Jbsa Fort Sam Houston, TX 78234-4504
Phone (210) 916-0935

Other identifiers 1

IdentifierTypeStateIssuer
VAD000OtherHIUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161104000875 HI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 0547548943
I20250925001642 NE Order and Referring Only - Cardiac ElectrophysiologyPractitioner - Cardiac Electrophysiology 0547548943

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1104237635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE",
            "address_2": "MCHE-ZDM-C CARDIOLOGY SERVICE",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-0935",
            "fax_number": "210-916-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DRIVE",
            "address_2": "MCHE-ZDM-C CARDIOLOGY SERVICE",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-0935",
            "fax_number": "210-916-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIGAN",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NE",
            "license": "28967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "VAD000",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.