Individual provider Active NPI

Patrick J Madden III, M.D.

  • Neurology Physician
  • Sarasota, FL
National Provider Identifier
1134187073
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME113116 Issued in FL
Practice address
1921 Waldemere St
Suite 810
Sarasota, FL 34239-2943
Phone
(617) 797-0110
Fax
(941) 894-1176
NPI assigned
May 2, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME113116 FL Primary

Addresses

Primary practice location

1921 Waldemere St
Suite 810
Sarasota, FL 34239-2943

Mailing address

19454 Rizzuto St
Venice, FL 34293-4552
Phone (617) 797-0110

Other identifiers 2

IdentifierTypeStateIssuer
ME113116OtherFLMEDICAL LICENSE
14M8VOtherFLBCBS

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
I20120831000310 FL Practitioner - Neurology 9234171133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (617) 797-0110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.82 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113116FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC PastSince Sep 1, 2012 Accepting new patients
Boston Neurological Associates PC Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.madden@8816.chartlogic.direct-ci.com
  • Direct secure messaging: tamika.mulwee@direct.tmcmed.org

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.

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1134187073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19454 RIZZUTO ST",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934552",
            "telephone_number": "617-797-0110",
            "fax_number": "941-894-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "SUITE 810",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "617-797-0110",
            "fax_number": "941-894-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME113116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME113116",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14M8V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.