Individual provider Active NPI

Grace C Blitzer, MD

  • Radiation Oncology Physician
  • Madison, WI
National Provider Identifier
1053844852
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
71953-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-3655
Phone
(608) 263-8500
Fax
(608) 263-9167
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 71953-20 WI Primary
Radiation Oncology Physician 2085R0001X 036153596 IL

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-3655

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

250 Doctors Ct
Johnson Creek, WI 53038-9451
Phone (920) 699-3500

Other identifiers 2

IdentifierTypeStateIssuer
036153596MedicaidIL
1053844852MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200929003768 WI Practitioner - Radiation Oncology 1355611567 Reassigns benefits to 2 organizations
I20200930002515 IL Practitioner - Radiation Oncology 1355611567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Wisconsin, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2022 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2022 Accepting new patients
Rockford Health Physicians CurrentSince Aug 20, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 14, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 14, 2020 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

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

250 Doctors Ct
Johnson Creek, WI 53038
Phone (920) 699-1056

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

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

4621 Eastpark Blvd
Madison, WI 53718
Phone (608) 914-0100

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

215 N 28th Ave
Wausau, WI 54401
Phone (715) 847-2429

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

Interoperability endpoints

  • Direct secure messaging: gblitzer519299@direct.unitypoint.org

Organizations & group practices 8

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 5

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1053844852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537923655",
            "telephone_number": "608-263-8500",
            "fax_number": "608-263-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Doctors Ct",
            "address_purpose": "LOCATION",
            "city": "Johnson Creek",
            "state": "WI",
            "postal_code": "530389451",
            "country_code": "US",
            "telephone_number": "920-699-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLITZER",
        "first_name": "GRACE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "71953-20",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036153596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036153596",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053844852",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.