NPIMap

Individual provider Active NPI

Kirin Leslie Madden, MD

  • Family Medicine Physician
  • Elko, NV
National Provider Identifier
1659436038
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11933 Issued in NV
Practice address
515 Shoshone Cir
Elko, NV 89801-5072
Phone
(775) 738-2252
Fax
(775) 738-4219
NPI assigned
Dec 26, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 11933 NV Primary

Addresses

Primary practice location

515 Shoshone Cir
Elko, NV 89801-5072

Mailing address

515 Shoshone Cir
Elko, NV 89801-5072
Phone (775) 738-2252

Other identifiers 3

IdentifierTypeStateIssuer
100510458MedicaidNV
CS14660OtherNVSTATE PHARMACY
11933OtherNVSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070621000722 NV Practitioner - Family PracticePractitioner - Allergy/ImmunologyPractitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Obstetrics/GynecologyPractitioner - Pediatric MedicinePractitioner - Preventive Medicine 4284621277 Reassigns benefits to 1 organization
I20080829000172 TX Practitioner - Family Practice 4284621277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gad 3 LLCGroup PAC ID 2062943038, 7 clinicians
DHHS IHS Phoenix AreaGroup PAC ID 8921265000, 10 clinicians

Practice addresses (Care Compare)

1950 Baring Blvd
Sparks, NV 89434-6735
Phone (385) 454-5027

515 Shoshone Cir
Elko, NV 89801-5072
Phone (775) 738-2252

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gad 3 LLC Family Medicine CurrentSince Aug 19, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 1, 2012 Accepting new patients
Clinical Diagnostic Services, LLC PastSince Apr 30, 2003 Accepting new patients
Highland Manor of Elko Rehabilitation LLC Past Accepting new patients

Locations

515 Shoshone Cir
Elko, NV 89801
Phone (775) 738-2252

1950 Baring Blvd
Sparks, NV 89434
Phone (385) 454-5027

13894 S Bangerter Pkwy
Ste 200
Draper, UT 84020
Phone (208) 996-3519

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659436038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SHOSHONE CIR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015072",
            "telephone_number": "775-738-2252",
            "fax_number": "775-738-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SHOSHONE CIR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015072",
            "telephone_number": "775-738-2252",
            "fax_number": "775-738-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "KIRIN",
        "middle_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510458",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY",
            "identifier": "CS14660",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11933",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.