Individual provider Active NPI

Daniel Opiyo Maduma, DNP

  • Family Nurse Practitioner
  • Marana, AZ
National Provider Identifier
1336609064
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223756 Issued in AZ
Practice address
13395 N Marana Main St
Marana, AZ 85653-7008
Phone
(520) 682-4111
Fax
(520) 682-3817
NPI assigned
Mar 20, 2019
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223756 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 223756 AZ

Addresses

Primary practice location

13395 N Marana Main St
Marana, AZ 85653-7008

Mailing address

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

Other identifiers 1

IdentifierTypeStateIssuer
513925MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190525000044 AZ Practitioner - Nurse Practitioner 2769725274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

250 S Toole Ave
Suite a
Tucson, AZ 85701-1814
Phone (520) 323-1312

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Apr 25, 2019 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Marana Health Center, Inc Family Medicine CurrentSince Apr 25, 2019 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Community Bridges, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948

250 S Toole Ave
Ste 110
Tucson, AZ 85701
Phone (520) 323-1212

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste C
Tucson, AZ 85701
Phone (520) 323-1312

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

Interoperability endpoints

  • Direct secure messaging: daniel.maduma.1@32652.direct.athenahealth.com
  • Direct secure messaging: daniel.maduma@1278.direct.myezyaccess.com
  • Direct secure messaging: daniel.madumanp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 9

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 1

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1336609064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111",
            "fax_number": "520-818-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUMA",
        "first_name": "DANIEL",
        "middle_name": "OPIYO",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223756",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "223756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "513925",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.