Individual provider Active NPI

John A Jerisha, MD

  • Diagnostic Radiology Physician
  • Fitchburg, WI
National Provider Identifier
1053389288
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21015 Issued in WI
Practice address
5846 Marsh View CT
Fitchburg, WI 53711-5845
Phone
(608) 274-0655
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 21015 WI Primary

Addresses

Primary practice location

5846 Marsh View CT
Fitchburg, WI 53711-5845

Mailing address

5846 Marsh View CT
Fitchburg, WI 53711-5845

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjerisha24025@direct.uwhealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000386 WI Practitioner - Diagnostic Radiology 5991602369 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1705 Hoffman St
Madison, WI 53704-2510
Phone (608) 441-3220

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 222-9777

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21015WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare Inc CurrentSince Nov 1, 2013 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jan 3, 2022 Accepting new patients
Richland Hospital CurrentSince Dec 1, 2015 Accepting new patients
Fort Healthcare Inc CurrentSince Nov 1, 2013 Accepting new patients
Richland Hospital CurrentSince Dec 1, 2015 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Sep 5, 2006 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jan 3, 2022 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

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

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

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

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

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

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

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

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: jjerisha24025@direct.uwhealth.org

Organizations & group practices 9

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 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1053389288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 MARSH VIEW CT",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5846 MARSH VIEW CT",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115845",
            "telephone_number": "608-274-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERISHA",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "21015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjerisha24025@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.