Ekaterina Fedorova, MD
Individual provider Active NPI Surgery Physician · Platteville, WI
NPI 1003311671 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1003311671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 81721-20 (WI)
- Practice address
- 1400 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 348-2331
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Health Center Inc
Practice addresses (Care Compare)
1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263
1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330
Hospital & facility affiliations
- Southwest Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808000315 | WI | Practitioner - General Surgery | 2163883141 | Reassigns benefits to 2 organizations |
| I20260203000158 | IL | Practitioner - General Surgery | 2163883141 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Midwest Medical Center | Current |
Accepting new patients | |
| Midwest Medical Center | Current |
Accepting new patients | |
| Southwest Health Center, Inc | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Past | Accepting new patients |
Locations
1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381
2388 State Road 80
Cuba City, WI 53807
Phone (608) 744-2767
133 Performance Dr
Darlington, WI 53530
Phone (608) 776-2443
1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331
1450 Eastside Rd
#2
Platteville, WI 53818
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
Interoperability endpoints
- midwestmedical@midwestmedicalcenter.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 81721-20 | WI | Yes |
Addresses
Primary practice location
1400 Eastside Rd
Platteville, WI 53818-9800
Mailing address
1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331
Other practice location 1
1 Medical Center Dr
Galena, IL 61036-8118
Phone (815) 777-1340
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | midwestmedical@midwestmedicalcenter.cernerdirect.com | Direct |
NPI Registry JSON
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1003311671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EASTSIDE RD",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EASTSIDE RD",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538189800",
"telephone_number": "608-348-2331"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Galena",
"state": "IL",
"postal_code": "610368118",
"country_code": "US",
"telephone_number": "815-777-1340",
"fax_number": "815-776-7274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEDOROVA",
"first_name": "EKATERINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "81721-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Midwest Medical Center Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1 Medical Center Dr",
"city": "Galena",
"state": "IL",
"country_code": "US",
"postal_code": "610368118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Ann Marie Fichtinger
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All providers in Platteville, WI · Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.