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DR. TERESA O MADRID M.D.
NPI 1982646295
Family Medicine - Adult Medicine in Newark, NJ

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5543 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Teresa O Madrid M.d. NPPES

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

DR. TERESA O MADRID M.D. (NPI 1982646295) is an individual adult medicine provider in Newark, New Jersey, licensed in New Jersey (MA40543) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1982646295
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. TERESA O MADRIDCredential: M.D.
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address7 Cambridge RdMorris Plains, NJ 07950-1511 · (973) 877-5543
Phone(973) 877-5543
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982646295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NJ · MA40543
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
111 CENTRAL AVE, Newark, NJ 07102
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Other Names 1

Other Name (5)Dr. Teresa O Madrid M.d.

Other Identifiers 1

Medicare UPINC55644

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

Dr. Teresa O Madrid 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 ID4789608654
PECOS Enrollment IDI20060118000529
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 3

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.
74 services37 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.
65 services41 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.
47 services29 patients

Hospital Affiliations CMS Care Compare

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

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 2

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
8 suppliers21 claims47 services$4.82 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.08 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.

RAKAN BASSAM AMMARI MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

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 Teresa Madrid's NPI number?

The NPI number for Teresa Madrid is 1982646295. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Dr. Teresa O Madrid M.D..

Where is Teresa Madrid located?

Teresa Madrid practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5543.

What is Teresa Madrid's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Teresa Madrid enrolled in Medicare?

Yes. Teresa Madrid 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.

Is Teresa Madrid affiliated with any hospitals?

According to CMS data, Teresa Madrid is affiliated with Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Teresa Madrid was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.