ROBERT DAVID MADOFF (MD) – Colon & Rectal Surgery Physician, NPI 1023191590

ROBERT DAVID MADOFF (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Colon & Rectal Surgery Physician. They hold the professional credentials MD. They hold a License No. 25693 (MN). The NPI Number for ROBERT DAVID MADOFF (MD) is 1023191590

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DAVID MADOFF (MD)
NPI
1023191590
Phone
(612) 672-7422
Address
909 FULTON ST SE
Enumeration Date
20 October 2006
Last Update Date
23 July 2018

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
6126727422
Graduation Year
1979 (47 years ago)
PAC ID
9032007596
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20050310000043
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT DAVID MADOFF (MD)

  • University of Minnesota Health Clinics and Surgery Center, 909, Fulton Street Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55455, United States

    MINNEAPOLIS, MN 554554800

    Phone: (612) 672-7422

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2023-06-05 • Largest payer in this snapshot: Davol Inc. ($151).

Total Amount

$151

General + Research + Ownership

Payments

1

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$151
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050310000043IColorectal Surgery (Proctology)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55455)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL
Family PracticeIL

Reviews

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Frequently asked questions

Is there an official ID for ROBERT DAVID MADOFF (MD) in U.S. healthcare records?
The official identifier for ROBERT DAVID MADOFF (MD) is NPI 1023191590.
Would ROBERT DAVID MADOFF (MD) appear as active to a payer?
You can treat ROBERT DAVID MADOFF (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ROBERT DAVID MADOFF (MD)'s focus?
For ROBERT DAVID MADOFF (MD), the primary taxonomy reads as Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ROBERT DAVID MADOFF (MD)?
Directory geography for ROBERT DAVID MADOFF (MD) centers on Minneapolis, Minnesota.
Can I trust this NPI listing for ROBERT DAVID MADOFF (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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