Theresa Madigan, MD

Individual provider Active NPI Pediatric Infectious Diseases Physician · Rochester, MN

NPI 1881035640 · NPPES record last updated Aug 18, 2020

Key facts

NPI
1881035640
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Infectious Diseases Physician 2080P0208X
License
59743 (MN)
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20151001001831 MN Practitioner - Pediatric Medicine 9335381086 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current
since Sep 12, 2015
Accepting new patients
Mayo Clinic Current
since Sep 12, 2015
Accepting new patients
Mayo Clinic Current Accepting new patients
Mayo Clinic Past Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

1216 2nd St SW
Rochester, MN 55902
Phone (507) 255-5123

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 59743 MN
Pediatric Infectious Diseases Physician 2080P0208X 59743 MN Yes

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other names

  • Theresa Koeberl Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address tmadigan137400@ehrdirect.mayoclinicmsg.org

Other providers in Rochester, MN

All providers in Rochester, MN · Pediatric Infectious Diseases Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.