Individual provider Active NPI

Puneet S Dhillon, M.D.

  • Internal Medicine Physician
  • Madison, WI
National Provider Identifier
1073855474
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
62731 Issued in WI
Practice address
4410 Regent St
Madison, WI 53705
Phone
(608) 233-9746
Fax
(608) 236-1981
NPI assigned
Mar 23, 2013
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 62731 WI Primary

Addresses

Primary practice location

4410 Regent St
Madison, WI 53705

Mailing address

3061 Linnerud Dr
Stoughton, WI 53589-3287
Phone (608) 772-9454

Other practice location 1

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

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
I20170215001177 WI Practitioner - Internal Medicine 3274816327 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians
Stoughton Hospital AssociationGroup PAC ID 7012825706, 66 clinicians

Practice addresses (Care Compare)

110 Belmont Rd
Madison, WI 53714-3129
Phone (608) 249-7391

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
87.42
Promoting interoperability
100
Improvement activities
40
Cost
65.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62731WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beam Healthcare, SC Internal Medicine CurrentSince Jan 6, 2024 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Jan 6, 2018 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Jan 6, 2018 Accepting new patients
Stoughton Hospital Association CurrentSince Nov 13, 2021 Accepting new patients
Maple Medical SC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Oak Medical SC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Reedsburg Area Medical Center, Inc. Current Accepting new patients

Locations

5535 Nobel Dr
Fitchburg, WI 53711
Phone (414) 405-8348

110 Belmont Rd
Madison, WI 53714
Phone (308) 249-7391

25 W Main St
Fl 5
Madison, WI 53703
Phone (888) 250-2326

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

Interoperability endpoints

  • Direct secure messaging: pdhillon259454@direct-ehr-ssmhc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1073855474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 LINNERUD DR",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893287",
            "telephone_number": "608-772-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 REGENT ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53705",
            "telephone_number": "608-233-9746",
            "fax_number": "608-236-1981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535891864",
            "country_code": "US",
            "telephone_number": "608-873-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "PUNEET",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "62731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.