Individual provider Active NPI

Robert J Glinert, MD

  • Dermatology Physician
  • Fort Atkinson, WI
National Provider Identifier
1144271404
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
31119-020 Issued in WI
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

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31596800MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070411000131 WI Practitioner - DermatologyPractitioner - Allergy/Immunology 5294632956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Allergy/Immunology
Education
Rush Medical College of Rush University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision57
Removal of skin lesions574
Removal or shaving of skin growth30
Skin biopsy191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31119-020WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare Inc Dermatology Current Accepting new patients
Fort Healthcare Inc CurrentSince Apr 1, 2007 Accepting new patients
Fort Healthcare, Inc. CurrentSince Apr 1, 2007 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: rglinert688178@direct.uwhealth.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.