Individual provider Active NPI

Aaron Daniel Andersen

  • Emergency Medicine Physician
  • Madison, WI
National Provider Identifier
1083889406
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
54036-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-2220
Phone
(608) 262-2398
NPI assigned
Apr 27, 2008
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 54036-20 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-2220

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aandersen5749966@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
I20110301000047 WI Practitioner - Emergency Medicine 4082895727 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medical Associates LLPGroup PAC ID 0648242065, 17 clinicians

Practice addresses (Care Compare)

725 American Ave
Suite 5
Waukesha, WI 53188-5031
Phone (262) 928-2475

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54036-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2024 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Oct 19, 2020 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Lake Country Emergency Physicians Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Oct 19, 2020 Accepting new patients
Emergency Medical Associates LLP Emergency Medicine CurrentSince Dec 20, 2012 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

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

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

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

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

725 American Ave
#5
Waukesha, WI 53188
Phone (262) 928-2475

207 N Pioneer Park Rd
Unit 8
Westfield, WI 53964
Phone (608) 296-6350

Interoperability endpoints

  • Direct secure messaging: aandersen45311@direct.phci.org
  • Direct secure messaging: aandersen484054@direct.gundersenhealth.org
  • Direct secure messaging: aandersen5749966@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1083889406",
    "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": "537922220",
            "telephone_number": "608-262-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Friendship",
            "state": "WI",
            "postal_code": "539349699",
            "country_code": "US",
            "telephone_number": "608-339-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "AARON",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "54036-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aandersen5749966@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537922220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.