Individual provider Active NPI

Arthur C. Madsen, M.D.

  • Internal Medicine Physician
  • Vernal, UT
National Provider Identifier
1699745711
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
171234-1205 Issued in UT
Practice address
175 North 100 West
Ste 205-B
Vernal, UT 84078-2053
Phone
(435) 789-6400
Fax
(435) 789-6040
NPI assigned
Jan 23, 2006
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 841712341205 UT
Internal Medicine Physician 207R00000X 171234-1205 UT Primary

Addresses

Primary practice location

175 North 100 West
Ste 205-B
Vernal, UT 84078-2053

Mailing address

175 North 100 West
Ste 205-B
Vernal, UT 84078-2053
Phone (435) 789-6400

Other identifiers 1

IdentifierTypeStateIssuer
07738MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20051221000324 UT Practitioner - Internal Medicine 5991727794 Practice locations: Vernal, UT

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Utah School of Medicine, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

475 N 500
Suite 200 B
Vernal, UT 84078-1907
Phone (435) 789-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
171234-1205UTMDInternal Medicine Physician
841712341205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Valley Physician Practice LLC Past Accepting new patients
Dr Adam Madsen Orthopedic Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFFAD
  • Direct secure messaging: nqe8655@yourcarecommunity.org

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, 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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1699745711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NORTH 100 WEST",
            "address_2": "STE 205-B",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782053",
            "telephone_number": "435-789-6400",
            "fax_number": "435-789-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NORTH 100 WEST",
            "address_2": "STE 205-B",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782053",
            "telephone_number": "435-789-6400",
            "fax_number": "435-789-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "ARTHUR",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "841712341205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "171234-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07738",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.