Daniel Spencer Madsen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

37113 Issued in AZ

Practice address

4700 Las Vegas Blvd N
Las Vegas, NV 89191-6600

Phone

(702) 653-2840

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY, MT, ID, UT4 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 4

Specialty

Interventional Radiology

Education

Uniformed Services Uhs Fe Hebert School of Med, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teton Radiology Diagnostic a Series of Teton Group EnterpriseGroup PAC ID 1254436959, 43 clinicians

Cache Valley VeinGroup PAC ID 5294069563, 36 clinicians

Teton Radiology Madison LLCGroup PAC ID 6901958024, 40 clinicians

Memorial Hospital of Carbon CountyGroup PAC ID 9638067176, 38 clinicians

Medical Imaging Associates of Idaho Falls IncGroup PAC ID 7618876590, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
• Idaho Falls Community Hospital, LLC Hospital, Idaho Falls, ID, CCN 130074
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Sagewest Health Care Hospital, Riverton, WY, CCN 530008

Merit-based Incentive Payment System (MIPS)

Final score

78.36 of 100Reported as group

Quality

74.54

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

74.39 of 100Reported as group

Quality

69.87

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89.07 of 100Reported as group

Quality

86.33

Improvement activities

40

Cost

88.62

Merit-based Incentive Payment System (MIPS)

Final score

33.71 of 100Reported as group

Quality

39.66

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 42)

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.

• Cache Valley Vein

  • Vascular & Interventional Radiology Physician
  • Providence, UT
  • NPI 1831662311

  ID, MT, UT, Vascular & Interventional Radiology, WY

  Medicare reassignment Care Compare group NPD
• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531

  Diagnostic Radiology, ID, MT, WY

  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Carbon County

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1508900341

  WY

  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Carbon County

  • Critical Access Hospital
  • Rawlins, WY
  • NPI 1710298757

  WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Diagnostic a Series of Teton Group Enterprise

  • Body Imaging Physician
  • Idaho Falls, ID
  • NPI 1013085604

  Diagnostic Radiology, ID, MT, UT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Madison LLC

  • Body Imaging Physician
  • Rexburg, ID
  • NPI 1407081060

  ID, MT, UT, WY

  Medicare reassignment Care Compare group NPD
• Teton Radiology Caldwell

  • Diagnostic Radiology Physician
  • Caldwell, ID
  • NPI 1336920420

  Diagnostic Radiology, ID, MT, UT, WY

  Medicare reassignment NPD
• Teton Vascular Institute of Pocatello a Series of Teton Group

  • Vascular & Interventional Radiology Physician
  • Pocatello, ID
  • NPI 1508224379

  ID, MT, UT, Vascular & Interventional Radiology, WY

  Medicare reassignment NPD
• Memorial Hospital of Carbon County

  • Medicare Defined Swing Bed Hospital Unit
  • Rawlins, WY
  • NPI 1891006839
  Care Compare group
• Elevation Medical Imaging Evanston

  • Radiology Clinic/Center
  • Evanston, WY
  • NPI 1184242521
  NPD
• Memorial Hospital of Carbon County

  • Home Health Agency
  • Rawlins, WY
  • NPI 1295896496
  NPD
• Medical Imaging Assoc of Idaho Falls, PA

  • Physician Assistant
  • Pocatello, ID
  • NPI 1043400484
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eastern Idaho Health Services Inc

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1225082209

  Hospital

  Care Compare affiliation
• Idaho Falls Community Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1114481447

  Hospital

  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362

  Hospital

  Care Compare affiliation
• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114

  Hospital

  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055

  Hospital

  Care Compare affiliation
• Riverton Memorial Hospital LLC

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1104998137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 E SUNNYSIDE RD",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047598",
            "telephone_number": "208-542-5000",
            "fax_number": "208-542-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832015175",
            "country_code": "US",
            "telephone_number": "208-239-1000",
            "fax_number": "208-523-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "DANIEL",
        "middle_name": "SPENCER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "5384574-1205",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "ID",
            "license": "M14927",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-80205",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WY",
            "license": "12595A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "37113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104998137",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104998137",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yurit Madrigal
• Olga Madril
• Yolexi Madruga Coello
• Graciela S Madruga
• Carrie L Madsen
• Heather Madsen
• Malaina Madsen
• Tami Madsen, MA,LCPC STATE INTERN
• Emeka J Madu, ACNP
• Chimezie Maduka, RN

• All providers in Las Vegas, NV
• Diagnostic Radiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.