Madison Medical Associates

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

DO882 Issued in AL

Legal business name

MADISON MEDICAL ASSOCIATES

Practice address

3809 Sullivan St
Suite 4
Madison, AL 35758-2372

Phone

(256) 325-1160

Fax

(256) 325-0740

NPI assigned

Jun 12, 2015

Last updated

Jun 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Kaliszak, D.O.NPI 1932200680

Title

D.O.

Phone

(256) 325-1160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Peter Kaliszak, MD

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1932200680
  Medicare reassignment NPD Authorized official
• Joe C Beshears, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1104141761
  Medicare reassignment NPD
• Sharon A Mbuko, MD

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1780841957
  Medicare reassignment NPD
• Nicholas Dain Prylinski, M.D.

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1275979858
  Medicare reassignment NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1538540729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SULLIVAN ST",
            "address_2": "SUITE 4",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582372",
            "telephone_number": "256-325-1160",
            "fax_number": "256-325-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SULLIVAN ST",
            "address_2": "SUITE 4",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582372",
            "telephone_number": "256-325-1160",
            "fax_number": "256-325-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "KALISZAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "256-325-1160",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AL",
            "license": "DO882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Gynecology and Wellness, PC
• Madison Home Health Care, Inc.
• Madison Home Health Services LLC
• Madison Hospital
• Madison Manor Nursing Home LLC
• Madison Mednorth Primary Care
• Madison Open MRI, LLC (Madison Open MRI)
• Madison Optometry LLC
• Madison Oral and Facial Surgery, LLC
• Madison Pediatric Dentistry LLC

• Addiction Medicine (Internal Medicine) Physician in Madison, AL
• Providers in Madison, AL by specialty
• Addiction Medicine (Internal Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.