Active NPI
Samuel Leathen Madson, M.D.
- Diagnostic Radiology Physician
- Usaf Academy, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DR.0075886
- Practice address
- 4102 Pinion Dr
Usaf Academy, CO 80840-2502 - Phone
- (760) 819-1136
- NPI assigned
- Apr 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 27143 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | DR.0075886 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | T9941 | TX |
Addresses
Primary practice location
4102 Pinion Dr
Usaf Academy, CO 80840-2502
Mailing address
4218 Manitou Bay
San Antonio, TX 78259-2278
Phone (210) 577-0533
Other practice location 1
2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000
Other practice location 2
12738 Mission Meadow Dr
Colorado Springs, CO 80921-7659
Phone (210) 577-0533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Utah School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 N Jefferson Ave
Mt Pleasant, TX 75455-2338
Phone (903) 577-6000
Hospital & facility affiliations
- Titus Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0075886 | CO | MD | Diagnostic Radiology Physician |
| 27143 | NE | MD | Diagnostic Radiology Physician |
| T9941 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titus County Hospital District | Current | Accepting new patients | |
| Titus County Hospital District | Current | Accepting new patients |
Locations
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
-
- Medical Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1841721016
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
- General Acute Care Hospital
- Mt Pleasant, TX
- NPI 1174526529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1699064220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4218 MANITOU BAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592278",
"telephone_number": "210-577-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 PINION DR",
"city": "USAF ACADEMY",
"state": "CO",
"postal_code": "808402502",
"telephone_number": "760-819-1136"
}
],
"practiceLocations": [
{
"address_1": "2001 N Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "TX",
"postal_code": "754552338",
"country_code": "US",
"telephone_number": "903-577-6000",
"fax_number": "903-577-6245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12738 Mission Meadow Dr",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809217659",
"country_code": "US",
"telephone_number": "210-577-0533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADSON",
"first_name": "SAMUEL",
"middle_name": "LEATHEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-05",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "27143",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "DR.0075886",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "T9941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Usaf Academy, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.