Individual provider Active NPI

Robert L Madden, MD

  • Surgery Physician
  • West Springfield, MA
National Provider Identifier
1699765743
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
75716 Issued in MA
Practice address
134 Capital Dr Ste B
West Springfield, MA 01089-1349
Phone
(413) 747-1817
Fax
(413) 747-6120
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 75716 MA
Surgery Physician 208600000X 75716 MA Primary

Addresses

Primary practice location

134 Capital Dr Ste B
West Springfield, MA 01089-1349

Mailing address

PO Box 366
Ludlow, MA 01056-0366
Phone (413) 733-0010

Other identifiers 1

IdentifierTypeStateIssuer
3093832MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050502000928 MA Practitioner - General Surgery 2466445903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana Medical College, School of Medicine of Purdue University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care and Transplant Services of New England PCGroup PAC ID 1658655352, 13 clinicians

Practice addresses (Care Compare)

208 Ashley Ave
West Springfield, MA 01089-1353
Phone (413) 733-0010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75716MAMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care and Transplant Services of New England, PC Surgery CurrentSince May 10, 2017 Accepting new patients
Renal and Transplant Associates of New England PC Transplant Surgery CurrentSince Jan 2, 2015 Accepting new patients
Western New England Renal and Transplant Associates, P.C. Transplant Surgery PastSince Nov 29, 1996 Accepting new patients
Baystate Medical Center Inc Past Accepting new patients

Locations

701 Enfield St
Ste 160
Enfield, CT 06082
Phone (860) 749-5975

115 Wildwood Ave
Greenfield, MA 01301
Phone (413) 773-0001

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

134 Capital Dr
Ste B
West Springfield, MA 01089
Phone (413) 474-1817

208 Ashley Ave
West Springfield, MA 01089
Phone (413) 747-4170

134 Capital Dr
Ste E
West Springfield, MA 01089

Interoperability endpoints

  • Direct secure messaging: rmadden18680@direct.acumenmd.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1699765743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560366",
            "telephone_number": "413-733-0010",
            "fax_number": "413-930-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 CAPITAL DR STE B",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891349",
            "telephone_number": "413-747-1817",
            "fax_number": "413-747-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MA",
            "license": "75716",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "75716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3093832",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.