NPIMap

Organization Active NPI

SSM Health Care of Wisconsin, Inc.

Doing business as SSM Health St. Mary's Hospital-Madison

  • General Acute Care Hospital
  • Madison, WI
National Provider Identifier
1184621211
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
71 Issued in WI
Legal business name
SSM HEALTH CARE OF WISCONSIN, INC.
Doing business as
SSM Health St. Mary's Hospital-Madison
Practice address
700 S. Park St.
Madison, WI 53715-1830
Phone
(608) 251-6100
Fax
(608) 258-5221
NPI assigned
Jul 5, 2005
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Joseph Minerath
Title
System Dir of Gov Reimbursement
Phone
(608) 258-6891

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Medicare Defined Swing Bed Hospital Unit 275N00000X
General Acute Care Hospital 282N00000X 71 WI Primary

Addresses

Primary practice location

700 S. Park St.
Madison, WI 53715-1830

Mailing address

700 S. Park St.
Madison, WI 53715-1830
Phone (608) 251-6100

Other names 1

  • SSM Health St. Mary's Hospital-Madison Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000247 WI Part A Provider - Hospital 8527977867 Practice locations: Fitchburg, WI; Madison, WI
O20040212000492 WI Part B Supplier - Clinic/Group Practice 8527977867 Receives reassigned benefits from 34 practitioners
2 other NPIs on this enrollment
Practice locations: Baraboo, WI; Janesville, WI; Madison, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184621211. Details of each certification follow.

Hospital certification: CCN 520083

Legal name
SSM HEALTH CARE OF WISCONSIN INC
Doing business as
SSM HEALTH ST. MARY'S HOSPITAL MADISON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 22, 2015
Beds
440
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2000 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2000 in WI
Enrollment address
700 S Park St
Madison, WI 53715-1830
Other Hospital Practice Location
Hospital subgroups
General, Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
SSM Health St Mary's Hospital - MadisonCCN 520083 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wayne E Matzke Individual Corporate DirectorBoard Member May 11, 2021
Rhea Emmer Individual Corporate Director Jan 1, 2022
Theodore D Miller Individual Corporate DirectorBoard Member May 11, 2021
Jennifer Maskel Individual Corporate DirectorBoard Member Jan 1, 2019
Joan a Karsten Individual Corporate DirectorBoard Member May 11, 2021
John M. Phelan Individual Corporate DirectorBoard Member Jan 1, 2015
Wesley Sparkman Individual Corporate DirectorBoard Member Jan 1, 2022
Troy Walker Individual Corporate OfficerDirector of Finance Aug 6, 2015
W-2 Managing EmployeeDirector of Finance Jul 22, 2015
Jane K Pearson Individual Corporate DirectorBoard Member Jan 1, 2015
James Walter Scott Fuller Individual Corporate DirectorBoard Member Mar 27, 2020
Joseph Minerath Individual Corporate OfficerSystem Director of Reimbursement Aug 6, 2015
W-2 Managing EmployeeSystem Director of Reimbursement Jul 23, 2015
Katie Kennedy Individual Corporate DirectorBoard Member Mar 27, 2020
Mark Allan Covaleski Individual Corporate DirectorBoard Member Jan 1, 2015

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SSM Health Monroe HospitalMonroe, WI, CCN 520028 Hospital 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2018
Jan 1, 2018
Stoughton HospitalStoughton, WI, CCN 521343 Hospital 5% Or Greater Direct Ownership Interest (40%) Feb 6, 2003
Stoughton HospitalStoughton, WI, CCN 52M343 Hospital 5% Or Greater Direct Ownership Interest (40%) Feb 6, 2003
Stoughton Hospital AssociationStoughton, WI, CCN 52Z343 Hospital 5% Or Greater Direct Ownership Interest (40%) Feb 6, 2003
SSM Health Ripon Community HospitalRipon, WI, CCN 521321 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
SSM Health Ripon Community HospitalRipon, WI, CCN 52Z321 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
St Francis HomeFond Du Lac, WI, CCN 525595 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2018
May 21, 2025
SSM Health at Home Home Health - Fond Du LacFond Du Lac, WI, CCN 527113 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018
SSM Health at Home Hospice-WisconsinBaraboo, WI, CCN 521522 Hospice 5% Or Greater Direct Ownership Interest (100%) Aug 13, 2018
SSM Health at Home Hospice Fond Du LacFond Du Lac, WI, CCN 521512 Hospice Operational/Managerial Control (100%) Jan 1, 2018
SSM Health at Home Hospice MonroeMonroe, WI, CCN 521523 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2018

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

Affiliated clinicians 999

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 999

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1184621211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S. PARK ST.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-251-6100",
            "fax_number": "608-258-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. PARK ST.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-251-6100",
            "fax_number": "608-258-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH CARE OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "MINERATH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SYSTEM DIR OF GOV REIMBURSEMENT",
        "authorized_official_telephone_number": "608-258-6891"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SSM Health St. Mary's Hospital-Madison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health St. Mary's Hospital-Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.