Luke Christopher Addesso, MD

Individual provider Active NPI Pediatrics Physician · Madison, WI

NPI 1013470186 · NPPES record last updated Oct 20, 2022

Key facts

NPI
1013470186
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
74713-20 (WI)
Practice address
20 S Park St
Madison, WI 53715-1348
Phone
(608) 287-2580
NPI assigned
Apr 7, 2019
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100 (group)
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220721002882 WI Practitioner - Pediatric Medicine 7416283577 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc Current
since Aug 1, 2022
Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
University of Wisconsin Medical Foundation, Inc Current
since Aug 1, 2022
Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

20 S Park St
Madison, WI 53715
Phone (608) 287-2090

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: laddesso683114@direct.unitypoint.org
  • Direct secure messaging: laddesso1040218@direct.uwhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 74713-20 WI Yes

Addresses

Primary practice location

20 S Park St
Madison, WI 53715-1348

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address laddesso1040218@direct.uwhealth.org

Other providers in Madison, WI

All providers in Madison, WI · Pediatrics Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.