Benjamin Roman Ciske, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Madison, WI
NPI 1104245851 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1104245851
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 64882 (WI)
- Practice address
- Uw Hospital and Clinics
600 Highland Ave, H4/831
Madison, WI 53792-0001 - Phone
- (608) 262-2122
- NPI assigned
- Apr 9, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 15
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- University of Wisconsin School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Medical Group-Fox Valley Wisconsin, Inc
Ascension Calumet Hospital Inc
Practice addresses (Care Compare)
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
614 Memorial Dr
Chilton, WI 53014-1568
Phone (800) 458-4042
Hospital & facility affiliations
- Ascension NE Wisconsin - St Elizabeth Campus
- Thedacare Regional Medical Center - Appleton Inc
- Ascension Calumet Hospital
- Thedacare Regional Med Ctr - Neenah
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181016002540 | WI | Practitioner - Interventional Cardiology |
9032332929 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64882 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Calumet Hospital, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current |
Accepting new patients | |
| Heart and Vascular of Wisconsin, SC | Current |
Accepting new patients | |
| Reedsburg Area Medical Center Inc | Current |
Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current |
Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Stoughton Hospital Association | Past | Accepting new patients |
Locations
5045 W Grande Market Dr
Appleton, WI 54913
Phone (920) 747-0505
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
600 Highland Ave
#H4831
Madison, WI 53792
Phone (608) 263-0572
1420 Algoma St
New London, WI 54961
Phone (920) 828-8300
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
Interoperability endpoints
- bciske280028@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 64882 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | 64882 | WI | Yes |
Addresses
Primary practice location
Uw Hospital and Clinics
600 Highland Ave, H4/831
Madison, WI 53792-0001
Mailing address
Uw Hospital and Clinics
600 Highland Ave
Madison, WI 53792-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100047447 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bciske280028@direct-ehr-ssmhc.com | Direct | SSM Health Care of Wisconsin, Inc. |
Other providers in Madison, WI
- Laura Cieslak
- Kate E Cilli
- Alexis Cina
- Nicole Cinquino
- Jack Cioci
- David J Ciske
- Jill Ciske
- Jennifer L Cisler
- Joshua Cisler
- Jeanne Cisse
All providers in Madison, WI · Interventional Cardiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.