NPIMap

Organization Active NPI

Orthopedic & Spine Centers of Wisconsin, SC.

  • Specialist
  • Madison, WI
National Provider Identifier
1083323059
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ORTHOPEDIC & SPINE CENTERS OF WISCONSIN, SC.
Practice address
2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309
Phone
(602) 406-8166
NPI assigned
Nov 18, 2022
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Jason Matthew Sansone, MDNPI 1942400221
Title
President
Phone
(608) 333-1849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309

Mailing address

2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309

Other practice location 1

123 Hospital Dr Ste 1008
Watertown, WI 53098-3320
Phone (920) 206-6500

Other identifiers 1

IdentifierTypeStateIssuer
100233718MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606001492 WI Part B Supplier - Clinic/Group Practice 0143687285 Receives reassigned benefits from 26 practitioners
Practice locations: Watertown, WI; Madison, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1083323059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132309",
            "telephone_number": "602-406-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hospital Dr Ste 1008",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983320",
            "country_code": "US",
            "telephone_number": "920-206-6500",
            "fax_number": "920-261-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE CENTERS OF WISCONSIN, SC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "SANSONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-333-1849",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233718",
            "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 Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.