Active NPI
Benjamin Prout, MD
- Diagnostic Radiology Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 80054-20
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin System Non Payroll | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Advanced Radiology, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin System Non Payroll | Current | 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
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- bprout747182@direct.unitypoint.org
- 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.
-
- Otolaryngology Physician
- Fort Atkinson, WI
- NPI 1417993361
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
-
- Critical Access Hospital
- Richland Center, WI
- NPI 1659301273
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Multi-Specialty Clinic/Center
- Madison, WI
- NPI 1346266319
-
- Rural Health Clinic/Center
- Fort Atkinson, WI
- NPI 1417450115
-
- Community/Retail Pharmacy
- Richland Center, WI
- NPI 1558127480
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Adult Mental Health Clinic/Center
- Madison, WI
- NPI 1184746828
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.