MADRAS MEDICAL GROUP P.C.
NPI 1093768533
Family Medicine in Madras, OR

Active since May 18, 2006CLIA 38D0628393 · Microscopy
76 NE 12TH ST, MADRAS, OR 97741(541) 475-3874(541) 475-3503 Get Directions Write a Review

NPPES record last updated: May 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madras Medical Group P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADRAS MEDICAL GROUP P.C. (NPI 1093768533) is a healthcare organization registered as a family medicine in Madras, Oregon and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists David V Evans, Vice President, as its authorized official.

NPPES Registry Identity

NPI1093768533
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMADRAS MEDICAL GROUP P.C.
Location Address76 NE 12TH STMadras, OR 97741-1827
Mailing Address76 Ne 12th StMadras, OR 97741-1827 · (541) 475-3874 · Fax (541) 475-3503
Fax(541) 475-3503
Organization SubpartNo
Authorized OfficialDavid V EvansVice President · (541) 475-3874
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 20, 2009
✔ NPI 1093768533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
76 NE 12TH ST, Madras, OR 97741

Other Identifiers 1

Medicare OSCAR/certification383859

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madras Medical Group P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Madras Medical Group P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1902018757
76 NE 12TH ST
Madras, OR 97741
(541) 475-3874
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518964600
76 NE 12TH ST
Madras, OR 97741
(541) 475-3874
✔ PECOSSame address
Family Practice
NPI 1417900317
76 NE 12TH ST
Madras, OR 97741
(541) 475-3874
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811300999
76 NE 12TH ST
Madras, OR 97741
(406) 258-4789
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1740774694
76 NE 12TH ST
Madras, OR 97741
(541) 475-3874
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1760768030
14125 SW RIDGE PL
Terrebonne, OR 97760
(541) 604-8431
✔ PECOS17 mi
Family Practice
NPI 1407242969
2301 ERWIN RD
Durham, NC 27705
(919) 684-8111
✔ PECOS2,279 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0628393

Madras Medical Group · Madras, OR
Active · expires Dec 31, 2027
CLIA Number38D0628393
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorThomas M. Manning
Laboratory Phone(541) 475-3874
Laboratory LocationMadras Medical Group76 NE 12th St, Madras, OR 97741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madras Medical Group P.C.'s NPI number?

The NPI number for Madras Medical Group P.C. is 1093768533. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Madras Medical Group P.C. located?

Madras Medical Group P.C. is located at 76 NE 12th St, Madras, OR 97741. The listed phone number is (541) 475-3874.

What is Madras Medical Group P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madras Medical Group P.C. enrolled in Medicare?

Yes. Madras Medical Group P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madras Medical Group P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Madras Medical Group P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5) and Clinical Social Worker (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Madras Medical Group P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0628393) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Madras Medical Group P.C. accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Madras Medical Group P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madras Medical Group P.C. was last updated on May 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.