Active NPI
Kelsey Ann Madsen, DO
- Obstetrics & Gynecology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 00999
- Practice address
- 9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-3360 - Phone
- (623) 936-1780
- Fax
- (623) 936-9116
- NPI assigned
- Apr 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 00999 | AZ | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | APP-000367459 | OH |
Addresses
Primary practice location
9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-3360
Mailing address
9305 W Thomas Rd Ste 155
Phoenix, AZ 85037-3360
Phone (623) 936-1780
Other practice location 1
20 W Wenger Rd Ste 2
Englewood, OH 45322-2764
Phone (937) 771-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 249208 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3533 Southern Blvd
Suite 3100
Kettering, OH 45429-1263
Phone (937) 771-5100
9305 W Thomas Rd
Suite 155
Phoenix, AZ 85037-3360
Phone (623) 936-1780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00999 | AZ | MD | Obstetrics & Gynecology Physician |
| APP-000367459 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona OB GYN Affiliates PC | Single Specialty | Current | Accepting new patients |
| Kettering Medical Center | Past | Accepting new patients | |
| Banner Estrella Medical Center | Single Specialty | Past | Accepting new patients |
Locations
1950 W Frye Rd
Ste B
Chandler, AZ 85224
9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 936-1780
Interoperability endpoints
- kelsey.madsen.1@14294.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Englewood, OH
- NPI 1649373572
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
Single Specialty
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1154776375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 W THOMAS RD STE 155",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373360",
"telephone_number": "623-936-1780",
"fax_number": "623-936-9116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9305 W THOMAS RD STE 155",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850373360",
"telephone_number": "623-936-1780",
"fax_number": "623-936-9116"
}
],
"practiceLocations": [
{
"address_1": "20 W Wenger Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "OH",
"postal_code": "453222764",
"country_code": "US",
"telephone_number": "937-771-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADSEN",
"first_name": "KELSEY",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "00999",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "APP-000367459",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249208",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.