David M Madden, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M5021 Issued in ID

Practice address

777 Hospital Way
Suite 215
Pocatello, ID 83201-5162

Phone

(208) 239-2580

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA, AK, AZ, TX4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 69)

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Bellingham Advanced Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Bellingham, WA
  • NPI 1730605965

  AK

  Medicare reassignment NPD
• Fairbanks Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Fairbanks, AK
  • NPI 1528360625

  WA

  Medicare reassignment NPD
• Iliuliuk Family and Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Unalaska, AK
  • NPI 1376520692
  Medicare reassignment NPD
• Imaging Associates of New Mexico LLC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1629592464

  AZ

  Medicare reassignment NPD
• Medical Park Family Care, LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1144392317
  Medicare reassignment NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Skagit Radiology Inc P S

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
  • NPI 1932218757

  AK

  Medicare reassignment NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology

  Medicare reassignment NPD
• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Medicare reassignment NPD
• North Star Medical Imaging PLLC

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
  • NPI 1144489824

  AK

  Medicare reassignment
• Skagit Digital Imaging LLC

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
  • NPI 1043328636

  AK

  Medicare reassignment

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1518905413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4168",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054168",
            "telephone_number": "208-239-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HOSPITAL WAY",
            "address_2": "SUITE 215",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015162",
            "telephone_number": "208-239-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M5021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804254800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID LICENSE NUMBER",
            "identifier": "M5021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Mabey
• Megan L. Macbutch, PA-C
• Elizabeth Macklin, LCPC
• Justine Marion Macneil, M.D.
• Susan K Macomb, LCPC
• Emily Sarah Magni, LMSW
• John Felix Mahaffey
• Colin Mahoney, SE
• Maior Telehealth LLC
• Jon Daniel Malan, DO

• Diagnostic Radiology Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.

Verify at the official NPI Registry.