ROBERT DAVID MADOFF MD NPI 1023191590

NPI Information

  • NPI: 1023191590
  • Provider Name: ROBERT DAVID MADOFF, MD
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 909 FULTON ST SE
    MINNEAPOLIS, MN
    ZIP 55455
  • Phone: (612) 672-7422

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NPI Details

Robert David Madoff, MD is a colon rectal surgery in Minneapolis, MN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. Robert David Madoff, MD NPI is 1023191590. 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:

909 FULTON ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 672-7422

The NPI 1023191590 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.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)

The enumeration date for this NPI number is 10/20/2006 and was last updated on 7/23/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal Surgery25693MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10013003OTHERPREFERRED ONE
20075089MEDICAIDMONTANA
3100426OTHERUCARE
414-00004OTHERMEDICA PRIMARY
531621700MEDICAIDWISCONSIN
6564R3MAOTHERMINNESOTABLUE CROSS BLUE SHIELD
7HP13891OTHERHEALTH PARTNERS
824924OTHERARAZ
90582528MEDICAIDIOWA
10841062300MEDICAIDMINNESOTA
1114-00074OTHERMEDICA CHOICE

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: 11/21/2025

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