Individual provider Active NPI

Jon Tony Madeira, M.D.

  • Diagnostic Radiology Physician
  • Leawood, KS
National Provider Identifier
1225130339
Registry record updated Aug 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
31322 Issued in KS
Practice address
5213 W 116TH St
Leawood, KS 66211-2042
Phone
(913) 499-6835
NPI assigned
Sep 1, 2006
Last updated
Aug 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11076KSMDSocial Worker
31322KSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.