Individual provider Active NPI

Rachel Lillian Petro, MD

  • Hospitalist Physician
  • Madison, WI
National Provider Identifier
1205255163
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
65208-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-3732
Phone
(608) 890-9600
Fax
(608) 890-7181
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 65208-20 WI
Neonatal-Perinatal Medicine Physician 2080N0001X 65208-20 WI
Hospitalist Physician 208M00000X 65208-20 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-3732

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6236

Other practice location 2

4122 E Towne Blvd
Madison, WI 53704-3732
Phone (608) 242-6855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpetro704081@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
I20170807000295 WI Practitioner - Pediatric MedicinePractitioner - Hospitalist 0547483992 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65208-20WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Physician Practices LLC Neonatal-Perinatal Medicine CurrentSince Aug 7, 2017 Accepting new patients
Watertown Physician Practices LLC Pediatrics Current Accepting new patients
Mercy Health System Corporation CurrentSince Sep 11, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2017 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 11, 2017 Accepting new patients
Watertown Physician Practices LLC CurrentSince Aug 7, 2017 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

4122 E Towne Blvd
Madison, WI 53704
Phone (608) 242-6855

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

7102 Mineral Point Rd
Madison, WI 53717
Phone (608) 828-7603

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

Interoperability endpoints

  • Direct secure messaging: rpetro704081@direct.uwhealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1205255163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537923732",
            "telephone_number": "608-890-9600",
            "fax_number": "608-890-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151507",
            "country_code": "US",
            "telephone_number": "608-417-6236",
            "fax_number": "608-417-6377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4122 E Towne Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537043732",
            "country_code": "US",
            "telephone_number": "608-242-6855",
            "fax_number": "608-242-6848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRO",
        "first_name": "RACHEL",
        "middle_name": "LILLIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "65208-20",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "65208-20",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "65208-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpetro704081@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "7102 Mineral Point Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537171706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.