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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: August 09, 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
Phone(541) 475-3874
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSICIAN MANAGEMENT SERVICES OF OREGON, LLC
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (888) 829-8550
KAREN V POTAMPA NMNP-PP
Nurse Practitioner (Family)
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (541) 475-3874
DR. GARY M PLANT MD
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (541) 475-3874
MR. KEITH EUGENE LONG PA-C
Physician Assistant
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (541) 475-3874
DR. THOMAS MARTIN MANNING MD
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (541) 475-3874
DR. LELAND PHILLIPS BEAMER MD
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (541) 475-3874
KAELYNA ROSE HASKINS
Counselor
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (541) 475-3874
NICHOLAS ZOLTAN BLAKE MD
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Jefferson County (406) 258-4789

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.

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.