MAYURA PHADTARE MADDEN MD
NPI 1174842785
Emergency Medicine in Portland, OR

Q: What is Mayura Madden's NPI number?

The NPI number for Mayura Madden is 1174842785. It was assigned to this individual provider in the NPPES registry on May 21, 2010. The provider is also known as Mayura Shashikant Phadtare MD.

Q: What is Mayura Madden's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mayura Madden was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 21, 2010PECOS EnrolledAccepts Medicare Assignment

500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232(800) 813-2000 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Jan 13, 2016 (2 updates tracked since 2016).

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About Mayura Phadtare Madden Md NPPES

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

MAYURA PHADTARE MADDEN MD (NPI 1174842785) is an individual emergency medicine provider in Portland, Oregon, licensed in Oregon (MD175749) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174842785

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMAYURA PHADTARE MADDENCredential: MD

Location Address500 NE MULTNOMAH ST STE 100Portland, OR 97232-2031

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000

Phone(800) 813-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 21, 2010

Last NPPES UpdateJune 6, 20252 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1174842785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OR · MD175749✔ Licensed in WA · MD60805215✔ Licensed in MI · 4301096327

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License P9691 (TX)

500 NE MULTNOMAH ST STE 100, Portland, OR 97232

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Other Names 1

Former Name (1)Mayura Shashikant Phadtare Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayura Phadtare Madden Md 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 ID2769625201

PECOS Enrollment IDI20160802001773, I20250619000346

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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380091

Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

HALEY JEANNE BATTIS RN

Registered Nurse