SUSAN JA MADSEN M.D.
NPI 1134216583
Internal Medicine in Scottsdale, AZ

Q: What is Susan Madsen's NPI number?

The NPI number for Susan Madsen is 1134216583. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Q: What is Susan Madsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Madsen was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment

10900 N SCOTTSDALE RD, SUITE 206, SCOTTSDALE, AZ 85254(480) 991-5088 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Susan Ja Madsen M.d. NPPES

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

SUSAN JA MADSEN M.D. (NPI 1134216583) is an individual internal medicine provider in Scottsdale, Arizona, licensed in Arizona (31140) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1995).

NPPES Registry Identity

NPI1134216583

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSAN JA MADSENCredential: M.D.

Location Address10900 N SCOTTSDALE RD, SUITE 206Scottsdale, AZ 85254-5216

Mailing Address10900 N Scottsdale Rd, Suite 206Scottsdale, AZ 85254-5216 · (480) 991-5088

Phone(480) 991-5088

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1995

Enumeration DateOctober 6, 2006

Last NPPES UpdateOctober 1, 2015

✔ NPI 1134216583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 31140

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 31140 (AZ)

10900 N SCOTTSDALE RD, Scottsdale, AZ 85254

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Other Identifiers 1

Medicare UPING92787AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Ja Madsen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103012018

PECOS Enrollment IDI20101117001635

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Madsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Internal Medicine And Pediatrics, P.C.

Same address

Internal Medicine

10900 N SCOTTSDALE RD, SUITE 206
Scottsdale, AZ 85254

Reassigned Medicare billing, Arizona enrollment
4 clinicians in this Medicare group

NPI 1447339890 (480) 991-5088

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

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

549 services339 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

327 services224 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

198 services117 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

147 services131 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

147 services147 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

146 services146 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

50 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

25 services25 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

23 services21 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

23 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services18 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

20 services19 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

20 services20 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

20 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

HELENE WECHSLER M.D.

Family Medicine

10900 N SCOTTSDALE RD, SUITE 104
SCOTTSDALE, AZ 85254

Maricopa County (480) 990-1564

SUMER LOUISE DAIZA MD

Plastic Surgery

10900 N SCOTTSDALE RD, 603
SCOTTSDALE, AZ 85254

Maricopa County (480) 585-0011

JACQUELINE WATCHMAKER M.D.

Dermatology

10900 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254

Maricopa County (480) 210-1988

MR. ROBERT JOHN CASQUEJO PA-C

Physician Assistant (Medical)

10900 N SCOTTSDALE RD, STE 506
SCOTTSDALE, AZ 85254

Maricopa County (480) 596-1110

CIGNA HEALTHCARE OF ARIZONA, INC.

Clinic/Center (Multi-Specialty)

10900 N SCOTTSDALE RD, SUITE 606
SCOTTSDALE, AZ 85254

Maricopa County (480) 368-2500

ANERI PATEL M.D.

Family Medicine

10900 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254

Maricopa County (480) 882-7470

MRS. VANESSA IVONNE ORTEGA M.A., BCBA

Behavior Analyst

10900 N SCOTTSDALE RD
SCOTTSDALE, AZ 85254

Maricopa County (619) 990-5320

DR. MICHAEL B STEGMAN DPM

Podiatrist

10900 N SCOTTSDALE RD, STE 101
SCOTTSDALE, AZ 85254

Maricopa County (480) 483-9000

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 Susan Madsen's NPI number?

The NPI number for Susan Madsen is 1134216583. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Susan Madsen located?

Susan Madsen practices at 10900 N Scottsdale Rd Suite 206, Scottsdale, AZ 85254. The listed phone number is (480) 991-5088.

What is Susan Madsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Madsen enrolled in Medicare?

Yes. Susan Madsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susan Madsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Madsen reassigns Medicare benefits to Valley Internal Medicine And Pediatrics, P.C. (Scottsdale, AZ). The 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 Susan Madsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Madsen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Susan Madsen 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 Susan Madsen was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.