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IAN MADOM MD NPI 1194942078


NPI Information

NPI: 1194942078
Provider Name: IAN MADOM, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 HIGH ST
WAKEFIELD, RI
ZIP 02879
Phone: (401) 789-1422
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Ian Madom, MD is an orthopaedic surgery in Wakefield, RI with 21 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Ian Madom, MD NPI is 1194942078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 HIGH ST
WAKEFIELD, RI
ZIP 02879
Phone: (401) 789-1422
Fax: (401) 782-6810

The NPI 1194942078 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
  • Fusion of spine bones, posterior or posterolateral approach (HCPCS:22614)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments (HCPCS:22842)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)

The enumeration date for this NPI number is 4/20/2007 and was last updated on 5/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryLP00165RHODE ISLANDNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine256162NEW YORKNo
3207XX0801XOrthopaedic SurgeryOrthopaedic Trauma256162NEW YORKNo
4207X00000XOrthopaedic SurgeryMD12744RHODE ISLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.