Individual provider Active NPI

Ameen Taleb, M.D.

  • Family Medicine Physician
  • Boscobel, WI
National Provider Identifier
1104230218
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67578-20 Issued in WI
Practice address
205 Parker St
Boscobel, WI 53805-1642
Phone
(608) 375-2424
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 67578 WI
Family Medicine Physician 207Q00000X 67578-20 WI Primary

Addresses

Primary practice location

205 Parker St
Boscobel, WI 53805-1642

Mailing address

515 22ND Ave
Monroe, WI 53566-1569
Phone (641) 428-3041

Other practice location 1

515 22nd Avenue
Monroe Clinic
Monroe, WI 53566-1569
Phone (608) 324-2222

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ataleb10006@direct.monroeclinic.org Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161004000611 IA Practitioner - Family Practice 6305065921 Reassigns benefits to 1 organization
I20170818000655 WI Practitioner - Emergency MedicinePractitioner - Family Practice 6305065921 Reassigns benefits to 6 organizations
I20260508000593 MN Practitioner - Family PracticePractitioner - Emergency Medicine 6305065921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Monroe Clinic, Inc.Group PAC ID 3072425495, 199 clinicians

Practice addresses (Care Compare)

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67578WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. CurrentSince Jul 17, 2017 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jul 17, 2017 Accepting new patients
Spencer Municipal Hospital CurrentSince Jul 1, 2019 Accepting new patients
Spencer Municipal Hospital CurrentSince Jul 1, 2019 Accepting new patients
Spooner Health System, Inc. Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Feb 3, 2020 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Feb 3, 2020 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

2009 5th St
Monroe, WI 53566
Phone (608) 324-1454

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

Interoperability endpoints

  • Direct secure messaging: ataleb438762@direct.emplifyhealth.org
  • Direct secure messaging: ataleb263622@direct-ehr-ssmhc.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1104230218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "641-428-3041",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-375-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 22nd Avenue",
            "address_2": "Monroe Clinic",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661569",
            "country_code": "US",
            "telephone_number": "608-324-2222",
            "fax_number": "641-428-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALEB",
        "first_name": "AMEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "67578",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "67578-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ataleb10006@direct.monroeclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ataleb10006@direct.monroeclinic.org",
            "address_1": "515 22nd Avenue",
            "address_2": "Monroe Clinic",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Avenue",
            "address_2": "Monroe Clinic",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boscobel, WI

Sources for this page

Verify at the official NPI Registry.