Individual provider Active NPI

Daniel Bailey Madsen, MD

  • Internal Medicine Physician
  • St George, UT
National Provider Identifier
1497749451
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1585781205 Issued in UT
Practice address
292 South 1470 East
Suite 100
St George, UT 84790-7000
Phone
(435) 628-9200
Fax
(435) 674-5763
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1585781205 UT Primary

Addresses

Primary practice location

292 South 1470 East
Suite 100
St George, UT 84790-7000

Mailing address

292 South 1470 East
Suite 100
St George, UT 84790-7000
Phone (435) 628-9200

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1585781205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Internal Medicine, P. C. Internal Medicine PastSince Jul 1, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1497749451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 SOUTH 1470 EAST",
            "address_2": "SUITE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907000",
            "telephone_number": "435-628-9200",
            "fax_number": "435-674-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 SOUTH 1470 EAST",
            "address_2": "SUITE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907000",
            "telephone_number": "435-628-9200",
            "fax_number": "435-674-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "DANIEL",
        "middle_name": "BAILEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "1585781205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.