Individual provider Active NPI

Stephane L Desouches, D.O.

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1083970602
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
69352 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-0001
Phone
(608) 263-9729
NPI assigned
Apr 9, 2012
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO-04992 IA
Diagnostic Radiology Physician 2085R0202X 69352 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-0001

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other identifiers 1

IdentifierTypeStateIssuer
1083970602MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WI2 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
I20160212002204 MO Practitioner - Diagnostic Radiology 1850692013 Reassigns benefits to 1 organization
I20180612002059 WI Practitioner - Diagnostic Radiology 1850692013 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Kansas City University of Physicians and Surgeons, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
Richland HospitalGroup PAC ID 7618861618, 69 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1111 Highland Ave
Madison, WI 53705-2275
Phone (608) 265-8731

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 222-9777

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

611 E Sherman Ave
Fort Atkinson, WI 53538-1960
Phone (920) 568-5000

675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69352WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 9, 2018 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Apr 1, 2025 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Apr 1, 2025 Accepting new patients
Swope Health Services CurrentSince Jan 6, 2016 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Apr 1, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 1, 2025 Accepting new patients
Richland Hospital CurrentSince Jul 1, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 9, 2018 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 1, 2025 Accepting new patients
Richland Hospital CurrentSince Nov 1, 2025 Accepting new patients
Swope Health Services CurrentSince Jan 6, 2016 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince May 1, 2018 Accepting new patients
Richland Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

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

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

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

1111 Highland Ave
Madison, WI 53705
Phone (608) 262-2181

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

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

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

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: sdesouchesdo253945@direct.froedtert.com

Organizations & group practices 14

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.

View all 14

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1083970602",
    "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": "537920001",
            "telephone_number": "608-263-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUCHES",
        "first_name": "STEPHANE",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "DO-04992",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "69352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083970602",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.