Active NPI
Daniel Bailey Madsen, MD
- Internal Medicine Physician
- St George, UT
National Provider Identifier
1497749451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1585781205
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1585781205 | UT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Internal Medicine, P. C. | Internal Medicine | Past | 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.
-
- Internal Medicine Physician
- St George, UT
- NPI 1043204118
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.