Active NPI
Samantha Denae Kraemer, M.D.
- Urology Physician
- Royal Oak, MI
National Provider Identifier
1013366491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301110165
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 - Phone
- (517) 474-1989
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301110165 | MI | |
| Urology Physician | 208800000X | 4301110165 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
Other practice location 1
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013366491 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skraemer397738@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Oakland Univ, William Beaumont School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
- Upland Hills Health
- Columbus Community Hospital
- SSM Health St Mary'S Hospital - Janesville
- SSM Health St Clare Hospital - Baraboo
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 29 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301110165 | MI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stoughton Hospital Association | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients |
Locations
1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
Interoperability endpoints
- skraemer397738@direct-ehr-ssmhc.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Critical Access Hospital
- Columbus, WI
- NPI 1841376183
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
-
- Critical Access Hospital
- Dodgeville, WI
- NPI 1487745501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1013366491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 S STOUGHTON RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537162257",
"telephone_number": "608-260-6000",
"fax_number": "608-260-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "517-474-1989"
}
],
"practiceLocations": [
{
"address_1": "1821 S Stoughton Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537162257",
"country_code": "US",
"telephone_number": "608-260-6000",
"fax_number": "608-260-6881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRAEMER",
"first_name": "SAMANTHA",
"middle_name": "DENAE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301110165",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301110165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013366491",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skraemer397738@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "skraemer397738@direct-ehr-ssmhc.com",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.