NPIMap

Individual provider Active NPI

Charles Louis Madden, MD

  • Family Medicine Physician
  • Big Rapids, MI
National Provider Identifier
1255851978
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301503868 Issued in MI
Practice address
650 Linden St Ste 1
Big Rapids, MI 49307-1880
Phone
(231) 796-3200
NPI assigned
Jun 23, 2017
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301503868 MI Primary

Addresses

Primary practice location

650 Linden St Ste 1
Big Rapids, MI 49307-1880

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cmadden285440@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512001496 MI Practitioner - Family Practice 8820367675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecosta County Medical CenterGroup PAC ID 1951215540, 53 clinicians

Practice addresses (Care Compare)

14755 215TH Ave
Big Rapids, MI 49307-9224
Phone (231) 796-3200

605 Oak St
Big Rapids, MI 49307-2048

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301503868MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Mecosta County Medical Center Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Reed City Hospital Corporation CurrentSince Jul 1, 2021 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Reed City Hospital Corporation Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Mecosta Health Services, Inc Family Medicine Past Accepting new patients

Locations

14755 215th Ave
Big Rapids, MI 49307
Phone (231) 592-4234

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

650 Linden St
Ste 1
Big Rapids, MI 49307
Phone (231) 796-3200

5991 95th Ave
Evart, MI 49631
Phone (231) 734-5561

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

8354 100th Ave
Stanwood, MI 49346
Phone (231) 972-3300

8354 100th Ave
Ste 1
Stanwood, MI 49346
Phone (231) 972-6000

Interoperability endpoints

  • Direct secure messaging: cmadden285440@epic00.corewelldirect.org
  • Direct secure messaging: cmadden285440@epic00.shdirect.org

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.

Hospital & facility affiliations 6

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1255851978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST STE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071880",
            "telephone_number": "231-796-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "CHARLES",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301503868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmadden285440@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "650 Linden St Ste 1",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493071880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "650 Linden St Ste 1",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493071880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.