NPI Details
Ian Madom, MD is an orthopaedic surgery in Wakefield, RI with 23 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.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
- X-ray of upper spine, 2-3 views (HCPCS:72040)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
- Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
- Spinal fusion (HCPCS:NAN02)
- Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | LP00165 | RHODE ISLAND | No |
| 2 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 256162 | NEW YORK | No |
| 3 | 207XX0801X | Orthopaedic Surgery | Orthopaedic Trauma | 256162 | NEW YORK | No |
| 4 | 207X00000X | Orthopaedic Surgery | | MD12744 | RHODE ISLAND | Yes |
