Active NPI
Debra Kaye Madaj, MD
- Internal Medicine Physician
- Tulsa, OK
National Provider Identifier
1487608808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18725
- Practice address
- 7600 S Lewis Ave
Tulsa, OK 74136-6836 - Phone
- (918) 382-2515
- Fax
- (918) 382-2501
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18725 | OK | Primary |
Addresses
Primary practice location
7600 S Lewis Ave
Tulsa, OK 74136-6836
Mailing address
7600 S Lewis Ave
Tulsa, OK 74136-6836
Phone (918) 382-2515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100184010A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18725 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1487608808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366836",
"telephone_number": "918-382-2515",
"fax_number": "918-382-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366836",
"telephone_number": "918-382-2515",
"fax_number": "918-382-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADAJ",
"first_name": "DEBRA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "18725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100184010A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.