Active NPI
Megan E Mahaffey, MD
- Pediatrics Physician
- Madison, WI
National Provider Identifier
1174548424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 46848-020
- Practice address
- 752 N High Point Rd
Madison, WI 53717-2236 - Phone
- (608) 824-4800
- Fax
- (608) 824-4929
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 46848-020 | WI | Primary |
Addresses
Primary practice location
752 N High Point Rd
Madison, WI 53717-2236
Mailing address
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174548424 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmahaffey262029@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46848-020 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients |
Locations
752 N High Point Rd
Madison, WI 53717
Phone (608) 824-4000
1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- mmahaffey262029@direct-ehr-ssmhc.com
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1174548424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 N HIGH POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537172236",
"telephone_number": "608-824-4800",
"fax_number": "608-824-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 N HIGH POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537172236",
"telephone_number": "608-824-4800",
"fax_number": "608-824-4929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAFFEY",
"first_name": "MEGAN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "46848-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174548424",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmahaffey262029@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mmahaffey262029@direct-ehr-ssmhc.com",
"address_1": "752 N High Point Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537172236",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "752 N High Point Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537172236",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.