Individual provider Active NPI

Madilyn E Tomaso, MD

  • Family Medicine Physician
  • Elberta, AL
National Provider Identifier
1780264002
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44943 Issued in AL
Practice address
24980 State St
Elberta, AL 36530-2573
Phone
(256) 551-4631
NPI assigned
Apr 11, 2021
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 44943 AL Primary

Addresses

Primary practice location

24980 State St
Elberta, AL 36530-2573

Mailing address

24980 State St
Elberta, AL 36530-2573
Phone (251) 986-7301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240626002518 AL Practitioner - Family Practice 4183168578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elberta Clinic, PCGroup PAC ID 6901874403, 8 clinicians

Practice addresses (Care Compare)

24980 State St
Elberta, AL 36530-2573
Phone (251) 986-7301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44943ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elberta Clinic, PC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

24980 State St
Elberta, AL 36530
Phone (251) 201-7667

Organizations & group practices 1

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 3

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": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1780264002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24980 STATE ST",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365302573",
            "telephone_number": "251-986-7301",
            "fax_number": "251-986-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24980 STATE ST",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365302573",
            "telephone_number": "256-551-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASO",
        "first_name": "MADILYN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "44943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberta, AL

Sources for this page

Verify at the official NPI Registry.