Individual provider Active NPI

Carlo Madrid, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1639374697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25747 Issued in OK
Practice address
900 NE 10TH St
FMC 2102
Oklahoma City, OK 73104-5420
Phone
(405) 271-2230
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25747 OK Primary

Addresses

Primary practice location

900 NE 10TH St
FMC 2102
Oklahoma City, OK 73104-5420

Mailing address

940 Stanton L Young Blvd
BMSB 357
Oklahoma City, OK 73104-5020
Phone (405) 271-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20091223000166 OK Practitioner - Emergency MedicinePractitioner - Family Practice 7810037884 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25747OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Mid-America, P.C. CurrentSince Dec 1, 2014 Accepting new patients
Southern Plains Medical Center of Garvin County LLC CurrentSince Mar 1, 2022 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Feb 1, 2014 Accepting new patients
South Central Emergency Services PC CurrentSince Jun 15, 2014 Accepting new patients
Southern Plains Medical Center of Garvin County LLC CurrentSince Mar 1, 2022 Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Washita Emergency Physicians LLC Past Accepting new patients
Iacc/Ehi NW, LLC Past Accepting new patients
Hughes Emergency Physicians Past Accepting new patients
University of Oklahoma College of Medicine Family Medicine Past Accepting new patients

Locations

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

100 Valley Dr
Pauls Valley, OK 73075
Phone (405) 238-5501

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639374697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 STANTON L YOUNG BLVD",
            "address_2": "BMSB 357",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020",
            "telephone_number": "405-271-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 10TH ST",
            "address_2": "FMC 2102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045420",
            "telephone_number": "405-271-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "CARLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.