Individual provider Active NPI

Thomas W Madden, DPM

  • Podiatrist
  • Killeen, TX
National Provider Identifier
1265523138
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1105 Issued in TX
Practice address
4102 S Clear Creek Rd Ste 109
Killeen, TX 76549-5954
Phone
(254) 634-3668
Fax
(254) 634-0278
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1105 TX
Podiatrist 213E00000X 1105 TX Primary

Addresses

Primary practice location

4102 S Clear Creek Rd Ste 109
Killeen, TX 76549-5954

Mailing address

4102 S Clear Creek Rd Ste 109
Killeen, TX 76549-5954
Phone (254) 634-3668

Other identifiers 1

IdentifierTypeStateIssuer
1104077-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120605000342 TX Practitioner - Podiatry 8224144779 Practice locations: Killeen, TX
O20100930048795 TX DME Supplier - Physician - Podiatry 1557481876 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Killeen, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4102 S Clear Creek Rd
Killeen, TX 76549-5954
Phone (254) 634-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue331
Removal of skin lesions1-10
Removal of nail tissue314
Removal or shaving of skin growth128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1105TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas W Madden DPM Podiatrist CurrentSince Dec 10, 2012 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4102 Clear Creek Rd
Ste 109
Killeen, TX 76549
Phone (254) 634-3668

2207 Clear Creek Rd
Ste 205
Killeen, TX 76549
Phone (254) 364-3668

2301 Clear Creek Rd
Ste 220
Killeen, TX 76549
Phone (254) 634-3668

Interoperability endpoints

  • Direct secure messaging: tmadden262078@ahs.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1265523138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 S CLEAR CREEK RD STE 109",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495954",
            "telephone_number": "254-634-3668",
            "fax_number": "254-634-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 S CLEAR CREEK RD STE 109",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765495954",
            "telephone_number": "254-634-3668",
            "fax_number": "254-634-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1105",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104077-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.