Active NPI
Paul M Reber, DO
- Endocrinology, Diabetes & Metabolism Physician
- Madison, WI
National Provider Identifier
1073578076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 29663-021
- Practice address
- 1313 Fish Hatchery Rd
Madison, WI 53715-1911 - Phone
- (608) 252-8000
- NPI assigned
- Apr 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 29663-021 | WI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 29663-021 | WI | Primary |
Addresses
Primary practice location
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Mailing address
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Phone (608) 252-8000
Other practice location 1
2989 Rothmore Ln
Fitchburg, WI 53711-5876
Phone (608) 630-8722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30048600 | Medicaid | WI | |
| 4737 | Other | WI | DEAN HEALTH INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29663-021 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc, | Past | Accepting new patients | |
| Dean Retail Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Beaver Dam, WI
- NPI 1336425016
-
- Community/Retail Pharmacy
- Sun Prairie, WI
- NPI 1467562157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1073578076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151911",
"telephone_number": "608-252-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151911",
"telephone_number": "608-252-8000"
}
],
"practiceLocations": [
{
"address_1": "2989 Rothmore Ln",
"address_purpose": "LOCATION",
"city": "Fitchburg",
"state": "WI",
"postal_code": "537115876",
"country_code": "US",
"telephone_number": "608-630-8722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REBER",
"first_name": "PAUL",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "29663-021",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "29663-021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30048600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "4737",
"state": "WI"
}
],
"endpoints": [],
"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 Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.