Active NPI
Stephane L Desouches, D.O.
- Diagnostic Radiology Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 69352
- Practice address
- 600 Highland Ave
Madison, WI 53792-0001 - Phone
- (608) 263-9729
- NPI assigned
- Apr 9, 2012
- Last updated
- Apr 7, 2025
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083970602 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69352 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| University of Wisconsin System Non Payroll | Current | Accepting new patients | |
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| University of Wisconsin System Non Payroll | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Richland Hospital | Current | 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
- 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.
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
-
- Critical Access Hospital
- Richland Center, WI
- NPI 1659301273
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
dba UW Health
- Multi-Specialty Clinic/Center
- Madison, WI
- NPI 1346266319
-
- Otolaryngology Physician
- Fort Atkinson, WI
- NPI 1417993361
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1689760076
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
dba Community Pharmacy at The Richland Hospital
- Community/Retail Pharmacy
- Richland Center, WI
- NPI 1558127480
-
dba Spring Green Medical Center
- Rural Health Clinic/Center
- Spring Green, WI
- NPI 1952094138
-
- Health Educator
- Madison, WI
- NPI 1487414082
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
-
dba UnityPoint Health - Meriter Therapies
- Rehabilitation Clinic/Center
- Madison, WI
- NPI 1073672556
Hospital
-
dba UnityPoint Health - Meriter
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
dba Mile Bluff Urgent Care
- Urgent Care Clinic/Center
- Mauston, WI
- NPI 1437958683
Hospital
-
dba Mile Bluff Hospital
- General Acute Care Hospital
- Mauston, WI
- NPI 1568487411
-
- Critical Access Hospital
- Richland Center, WI
- NPI 1659301273
-
dba University of Wisconsin Hospital and Clinics
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.