Individual provider Active NPI

Edward J Madrid, MD.

  • Pediatrics Physician
  • Chandler, AZ
National Provider Identifier
1558528042
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16602 Issued in AZ
Practice address
655 S. Dobson Rd.
Suite B-218
Chandler, AZ 85224-5671
Phone
(480) 722-1180
Fax
(480) 722-1187
NPI assigned
May 21, 2008
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AZ16602 AZ
Pediatrics Physician 208000000X 16602 AZ Primary

Addresses

Primary practice location

655 S. Dobson Rd.
Suite B-218
Chandler, AZ 85224-5671

Mailing address

2033 E Warner Rd Ste 109
Tempe, AZ 85284-3417
Phone (480) 820-5525

Other identifiers 2

IdentifierTypeStateIssuer
247454MedicaidAZ
247454001MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000933 AZ Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1254635691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16602AZMDPediatrics Physician
AZ16602AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Pediatrics PLLC Pediatrics PastSince Feb 1, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1558528042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843417",
            "telephone_number": "480-820-5525",
            "fax_number": "480-831-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S. DOBSON RD.",
            "address_2": "SUITE B-218",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245671",
            "telephone_number": "480-722-1180",
            "fax_number": "480-722-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "EDWARD",
        "middle_name": "J",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "AZ16602",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "16602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247454",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247454001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.