Individual provider Active NPI

Benjamin Prout, MD

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1033733753
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
80054-20 Issued in WI
Practice address
700 University Bay Dr Apt 402
Madison, WI 53705-2268
Phone
(701) 330-8804
NPI assigned
May 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 80054-20 WI Primary

Addresses

Primary practice location

700 University Bay Dr Apt 402
Madison, WI 53705-2268

Mailing address

700 University Bay Dr Apt 402
Madison, WI 53705-2268

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bprout1062108@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530002440 WI Practitioner - Diagnostic Radiology 2163846650 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1265 John Q Hammons Dr
Madison, WI 53717-1921

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin System Non Payroll CurrentSince Jul 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Richland Hospital CurrentSince Oct 10, 2025 Accepting new patients
Richland Hospital CurrentSince Oct 10, 2025 Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2025 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jul 1, 2025 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Sep 22, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2025 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jul 1, 2025 Accepting new patients

Locations

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

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

1111 Highland Ave
Madison, WI 53705
Phone (608) 265-3596

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

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

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: bprout747182@direct.unitypoint.org
  • Direct secure messaging: bprout1062108@direct.uwhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1033733753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY BAY DR APT 402",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY BAY DR APT 402",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052268",
            "telephone_number": "701-330-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUT",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "80054-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bprout1062108@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.