Individual provider Active NPI

Steven William Kincaid, M.D.

  • Pediatrics Physician
  • Reedsburg, WI
National Provider Identifier
1104813823
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36970 Issued in WI
Practice address
1900 N Dewey Ave
Reedsburg, WI 53959-2214
Phone
(608) 524-6477
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36970 WI Primary

Addresses

Primary practice location

1900 N Dewey Ave
Reedsburg, WI 53959-2214

Mailing address

1900 N Dewey Ave
Reedsburg, WI 53959-2214

Other identifiers 1

IdentifierTypeStateIssuer
32345400MedicaidWI

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
I20150403000921 WI Practitioner - Pediatric Medicine 0143281360 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36970WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedsburg Area Medical Center, Inc. CurrentSince Jan 1, 2015 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Reedsburg Area Medical Center, Inc. Current Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Jan 1, 2015 Accepting new patients
Reedsburg Physicians Group, S.C. PastSince Jan 1, 1999 Accepting new patients

Locations

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477

Interoperability endpoints

  • Direct secure messaging: skincaid656477@direct.unitypoint.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104813823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N DEWEY AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592214",
            "telephone_number": "608-524-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "36970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32345400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

Verify at the official NPI Registry.