Individual provider Active NPI

Michael Francis Madaras

  • Peer Specialist
  • Saint Louis Park, MN
National Provider Identifier
1497611016
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
8636 Issued in MN
Practice address
4642 Cedar Lake Road South
Condominium 6
Saint Louis Park, MN 55416-3769
Phone
(651) 558-7231
NPI assigned
Dec 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X 8636 MN Primary

Addresses

Primary practice location

4642 Cedar Lake Road South
Condominium 6
Saint Louis Park, MN 55416-3769

Mailing address

4642 Cedar Lake Road South
Condominium 6
Saint Louis Park, MN 55416-3769
Phone (651) 558-7231

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)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1497611016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 CEDAR LAKE ROAD SOUTH",
            "address_2": "CONDOMINIUM 6",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554163769",
            "telephone_number": "651-558-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 CEDAR LAKE ROAD SOUTH",
            "address_2": "CONDOMINIUM 6",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554163769",
            "telephone_number": "651-558-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARAS",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "MN",
            "license": "8636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.