Active NPI
Robert J Glinert, MD
- Dermatology Physician
- Fort Atkinson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 31119-020
- Practice address
- 611 Sherman Ave E
Fort Healthcare Center for Dermatology
Fort Atkinson, WI 53538-1960 - Phone
- (920) 568-1000
- Fax
- (920) 568-5477
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 31119-020 | WI | Primary |
Addresses
Primary practice location
611 Sherman Ave E
Fort Healthcare Center for Dermatology
Fort Atkinson, WI 53538-1960
Mailing address
611 Sherman Ave E
Fort Healthcare Center for Dermatology
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31596800 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rglinert688178@direct.uwhealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Rush Medical College of Rush University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 57 |
| Removal of skin lesions | 574 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 191 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31119-020 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Healthcare Inc | Dermatology | Current | Accepting new patients |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Fort Healthcare, Inc. | Current | Accepting new patients |
Locations
704 Katie Ct
Cambridge, WI 53523
Phone (608) 423-1100
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366
611 Sherman Ave E
Fl 3
Fort Atkinson, WI 53538
Phone (920) 568-1000
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- rglinert688178@direct.uwhealth.org
- robert.glinert@direct.forthc.com
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Fort Atkinson, WI
- NPI 1417450115
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1144271404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 SHERMAN AVE E",
"address_2": "FORT HEALTHCARE CENTER FOR DERMATOLOGY",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381960",
"telephone_number": "920-568-1000",
"fax_number": "920-568-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SHERMAN AVE E",
"address_2": "FORT HEALTHCARE CENTER FOR DERMATOLOGY",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381960",
"telephone_number": "920-568-1000",
"fax_number": "920-568-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLINERT",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "31119-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31596800",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rglinert688178@direct.uwhealth.org",
"affiliation": "N",
"address_1": "451 Junction Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537172656",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.