Matthew Jacob Mader, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

76872-20 Issued in WI

Practice address

9245 Main St
Kansas City, MO 64114-3640

Phone

(479) 619-8963

NPI assigned

Apr 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MO, KS3 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 3

Specialty

Diagnostic Radiology

Education

University of Arkansas College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Radiology Consultants of Kansas City PAGroup PAC ID 0042645947, 28 clinicians

Overland Park Surgical Specialties LLCGroup PAC ID 9234318502, 86 clinicians

Diagnostic Imaging Centers PAGroup PAC ID 7416926613, shared by 2 NPIs, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
• Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
• Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
• Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
• Allen County Regional Hospital Hospital, Iola, KS, CCN 171373

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

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.

• Advanced Radiology Consultants of Kansas City, PA

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1447800131

  MO

  Medicare reassignment Care Compare group NPD
• Overland Park Surgical Specialties LLC

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1760798540
  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging Centers, P.a.

  • Radiology Clinic/Center
  • Kansas City, MO
  • NPI 1497828222
  Medicare reassignment NPD
• Diagnostic Imaging Centers, P.a.

  • Radiology Clinic/Center
  • Overland Park, KS
  • NPI 1366529661
  Medicare reassignment NPD
• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361
  Medicare reassignment NPD
• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  Medicare reassignment NPD
• Texas Imaging Partners, LLC

  • Radiology Clinic/Center
  • San Antonio, TX
  • NPI 1548076052

  KS

  Medicare reassignment NPD
• South Texas Radiology Group PA

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1851368039

  KS

  Medicare reassignment NPD (past)
• Fort Healthcare Inc

  • Rural Health Clinic/Center
  • Fort Atkinson, WI
  • NPI 1417450115
  NPD
• Fort Healthcare, Inc.

  • General Acute Care Hospital
  • Fort Atkinson, WI
  • NPI 1811916281
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Luke'S North Hospital

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1942241799
  Care Compare affiliation
• Saint Lukes Hospital of Chillicothe

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Care Compare affiliation
• Midwest Division-Oprmc LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484
  Care Compare affiliation
• Saint Luke'S Hospital of Allen County, Inc

  • Critical Access Hospital
  • Iola, KS
  • NPI 1639185457
  Care Compare affiliation
• Saint Lukes South Hospital, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1154303337
  Care Compare affiliation

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1578096566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143640",
            "telephone_number": "479-619-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143640",
            "telephone_number": "479-619-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "MATTHEW",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "76872-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Madden, M.D.
• Thomas Gerald Maddox, M.D.
• Christy Ann Maddux, M.S. CCC-A
• Michele Herzer Maddux, PHD
• Abraham Henry Madenge
• Natoya Renee Madge, WHNP-BC/ ANP-BC
• Sheshadri Madhusudhana, M.D
• Lydia Madruga, LCSW
• Blessing Madu
• Chris James Maeda, M.D.

• Diagnostic Radiology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.
• 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.