Active NPI
Robert Louis Madden, MD
- Pain Medicine (Anesthesiology) Physician
- Big Flats, NY
National Provider Identifier
1639118342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 177308
- Practice address
- 455 Maple St Ste 3
Big Flats, NY 14814-9702 - Phone
- (607) 321-0265
- Fax
- (607) 321-0269
- NPI assigned
- Jun 6, 2006
- Last updated
- Aug 1, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 177308 | NY | Primary |
| Pain Medicine Physician | 208VP0000X | 177308 | NY | |
| Interventional Pain Medicine Physician | 208VP0014X | 177308 | NY |
Addresses
Primary practice location
455 Maple St Ste 3
Big Flats, NY 14814-9702
Mailing address
33 Lewis Rd
FL @
Binghamton, NY 13905
Phone (607) 770-0025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01291872 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Interventional Pain Medicine | Past | Accepting new patients |
| Interventional Pain Management | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients | |
| Arnot Ogden Medical Center | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
Interventional Pain Medicine
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
- Specialist
- Elmira, NY
- NPI 1144231473
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1639118342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"address_2": "FL @",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-770-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 MAPLE ST STE 3",
"city": "BIG FLATS",
"state": "NY",
"postal_code": "148149702",
"telephone_number": "607-321-0265",
"fax_number": "607-321-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "177308",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "177308",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "177308",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01291872",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Big Flats, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.