Individual provider Active NPI

Andrew J Kramer, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Madison, WI
National Provider Identifier
1144259581
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
5986 Issued in WI
Practice address
20 S Park St
506
Madison, WI 53715-1348
Phone
(608) 256-1961
Fax
(608) 256-1501
NPI assigned
Jun 30, 2006
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
Oral and Maxillofacial Pathology Dentistry 1223P0106X 5986 WI Primary

Addresses

Primary practice location

20 S Park St
506
Madison, WI 53715-1348

Mailing address

20 S. Park St.
506
Madison, WI 53715
Phone (608) 256-1961

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
I20070403000027 WI Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2163526047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Iowa College of Dentistry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Oral and Maxillofacial Surgery SCGroup PAC ID 5294830451, 6 clinicians

Practice addresses (Care Compare)

5302 Buttonwood Dr
Madison, WI 53718-2111
Phone (608) 240-0863

7007 Old Sauk Rd
Madison, WI 53717-2307
Phone (608) 819-8760

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5986WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Oral & Maxillofacial Surgery SC CurrentSince Aug 1, 2006 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

209 S University Ave
Beaver Dam, WI 53916
Phone (920) 356-1335

20 S Park St
Ste 506
Madison, WI 53715
Phone (608) 256-1961

7007 Old Sauk Rd
Madison, WI 53717
Phone (608) 819-8760

Interoperability endpoints

  • Direct secure messaging: akramer264225@direct.unitypoint.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144259581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S. PARK ST.",
            "address_2": "506",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "608-256-1961",
            "fax_number": "608-256-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S PARK ST",
            "address_2": "506",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151348",
            "telephone_number": "608-256-1961",
            "fax_number": "608-256-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WI",
            "license": "5986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.