Active NPI
Jon Tony Madeira, M.D.
- Diagnostic Radiology Physician
- Leawood, KS
National Provider Identifier
1225130339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 31322
- Practice address
- 5213 W 116TH St
Leawood, KS 66211-2042 - Phone
- (913) 499-6835
- NPI assigned
- Sep 1, 2006
- Last updated
- Aug 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 31322 | KS | Primary |
Addresses
Primary practice location
5213 W 116TH St
Leawood, KS 66211-2042
Mailing address
5213 W 116TH St
Leawood, KS 66211-2042
Phone (913) 499-6835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11076 | KS | MD | Social Worker |
| 31322 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springer Clinic Inc | Past | Accepting new patients | |
| Radiological Imaging of Oklahoma, L.L.C. | Past | Accepting new patients | |
| Saint Luke's Hospital of Kansas City | Past | Accepting new patients | |
| Mercy Clinic St. Louis Cancer and Breast Institute, LLC | Past | Accepting new patients | |
| Slci Physician Services, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Saint Lukes Cancer Institute LLC | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Diagnostic Radiology
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187395200000",
"number": "1225130339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 W 116TH ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662112042",
"telephone_number": "913-499-6835",
"fax_number": "413-235-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5213 W 116TH ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662112042",
"telephone_number": "913-499-6835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADEIRA",
"first_name": "JON",
"middle_name": "TONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "31322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.