Individual provider Active NPI

Kenneth Coggins, M.D.

  • Internal Medicine Physician
  • Madison, WI
National Provider Identifier
1124415021
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5865-851 Issued in WI
Practice address
Uw Hospitals and Clinics
600 Highland Ave.
Madison, WI 53792-0001
Phone
(608) 263-5660
NPI assigned
Apr 20, 2015
Last updated
Apr 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 67177 WI
Internal Medicine Physician 207R00000X 5865-851 WI Primary

Addresses

Primary practice location

Uw Hospitals and Clinics
600 Highland Ave.
Madison, WI 53792-0001

Mailing address

600 Highland Ave.
Uw Hospitals and Clinics
Madison, WI 53792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210630002035 AR Practitioner - Internal MedicinePractitioner - Gastroenterology 8426365578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Baylor College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4114
Phone (501) 747-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.59 of 100Reported as group
Quality
80.85
Promoting interoperability
0
Improvement activities
20
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy152
Upper gastrointestinal (GI) endoscopy for acid reflux162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67177WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology Associates PLLC CurrentSince Jul 22, 2021 Accepting new patients
Premier Gastroenterology Associates PLLC CurrentSince Jul 22, 2021 Accepting new patients
William L. McColgan, III, M.D., PA Past Accepting new patients

Locations

10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73349

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1124415021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE.",
            "address_2": "UW HOSPITALS AND CLINICS",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UW HOSPITALS AND CLINICS",
            "address_2": "600 HIGHLAND AVE.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGINS",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-20",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "67177",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "5865-851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.