Individual provider Active NPI

Stephen C Bogue, DPM

  • Primary Podiatric Medicine Podiatrist
  • Madison, WI
National Provider Identifier
1184632341
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
730 Issued in WI
Practice address
6661 Odana Road
Madison, WI 53719
Phone
(608) 829-2535
Fax
(608) 829-1319
NPI assigned
Aug 4, 2006
Last updated
May 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 730 WI Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 730 WI
Foot Surgery Podiatrist 213ES0131X 730 WI

Addresses

Primary practice location

6661 Odana Road
Madison, WI 53719

Mailing address

6661 Odana Road
Madison, WI 53719
Phone (608) 829-2535

Other identifiers 1

IdentifierTypeStateIssuer
43221700MedicaidWI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000142 WI Practitioner - Podiatry 9234030545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Podiatrists LLPGroup PAC ID 6305747692, 3 clinicians

Practice addresses (Care Compare)

6510 Grand Teton Plaza
Suite 406
Madison, WI 53719-1029
Phone (608) 829-2535

6510 Grand Teton PLZ
Madison, WI 53719-1029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.16 of 100Reported as individual
Quality
62.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue179
Removal of skin lesions16
Removal of nail tissue1296
Removal or shaving of skin growth464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
730WIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Podiatrists, LLP Primary Podiatric Medicine CurrentSince Jul 1, 1996 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jan 1, 2001 Accepting new patients
Associated Podiatrists, LLP Past Accepting new patients

Locations

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

2830 Dryden Dr
Ste 102
Madison, WI 53704
Phone (608) 244-1772

6510 Grand Teton Plz
Ste 406
Madison, WI 53719
Phone (608) 829-2535

6661 Odana Rd
Madison, WI 53719
Phone (608) 829-2535

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

219 S Division
Stoughton, WI 53589
Phone (608) 873-9899

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/81ed713e-778e-4b5c-9b69-03c747a235d6/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1184632341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 ODANA ROAD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-829-2535",
            "fax_number": "608-829-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 ODANA ROAD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-829-2535",
            "fax_number": "608-829-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUE",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "730",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "730",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43221700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.