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DR. THOMAS EDWARD MADAJ MD
NPI 1356398358
Internal Medicine in Tulsa, OK

Active since May 27, 2006PECOS Enrolled
1245 S UTICA AVE, 3RD FLOOR EAST, TULSA, OK 74104(918) 382-2510(918) 382-2545 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Edward Madaj Md NPPES

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

DR. THOMAS EDWARD MADAJ MD (NPI 1356398358) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (15759) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1985).

NPPES Registry Identity

NPI1356398358
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS EDWARD MADAJCredential: MD
Location Address1245 S UTICA AVE, 3RD FLOOR EASTTulsa, OK 74104-4214
Mailing Address1245 S Utica Ave, 3rd Floor EastTulsa, OK 74104-4214 · (918) 382-2510 · Fax (918) 382-2545
Phone(918) 382-2510
Fax(918) 382-2545
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1985
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 21, 2015
✔ NPI 1356398358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 15759
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.
1245 S UTICA AVE, Tulsa, OK 74104
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Other Identifiers 3

Medicare UPINC51941
Medicaid100090220AOK
Medicare PIN249425706OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Edward Madaj Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991772600
PECOS Enrollment IDI20040913000975
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 9

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 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.
120 services100 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.
78 services78 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
74 services13 patients
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.
55 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
52 services47 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
45 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers20 claims46 services$6.37 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers19 claims19 services$34.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers21 claims21 services$76.08 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers20 claims55 services$29.82 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$44.91 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers19 claims19 services$14.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JACLYN CINDA JONES D.O.
Orthopaedic Surgery
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-2590
ABIGAIL J DAVISON PA-C
Physician Assistant
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-3850
HELEN HOGGARD APRN-CNP
Nurse Practitioner (Family)
1245 S UTICA AVE, 2ND FLOOR EAST
TULSA, OK 74104
Tulsa County (918) 382-2567
DR. BRADLEY DEAN HOYT MD
Internal Medicine
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 382-2536
DR. STEVEN LANDGARTEN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 382-2551
MS. AMY CLARK NP-C
Nurse Practitioner (Family)
1245 S UTICA AVE, 3RD FLOOR WEST
TULSA, OK 74104
Tulsa County (918) 560-3823
CHELSEA NICOLE THOMAS DO
Internal Medicine (Hematology & Oncology)
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-3850
DEVON MORRIS MSN, FNP-C
Nurse Practitioner (Family)
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 382-2536

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 Thomas Madaj's NPI number?

The NPI number for Thomas Madaj is 1356398358. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Thomas Madaj located?

Thomas Madaj practices at 1245 S Utica Ave 3rd Floor East, Tulsa, OK 74104. The listed phone number is (918) 382-2510.

What is Thomas Madaj's specialty?

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

Is Thomas Madaj enrolled in Medicare?

Yes. Thomas Madaj is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Madaj accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Thomas Madaj 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 Thomas Madaj was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.