NPIMap

Organization Active NPI

Telemedico Physicians of Wisconsin SC

  • Cardiovascular Disease Physician
  • Madison, WI
National Provider Identifier
1215414727
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
TELEMEDICO PHYSICIANS OF WISCONSIN SC
Practice address
33 E Main St Ste 610
Madison, WI 53703-4655
Phone
(847) 386-7744
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Joel C Okner, MDNPI 1699783126
Title
President
Phone
(847) 386-7744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X

Addresses

Primary practice location

33 E Main St Ste 610
Madison, WI 53703-4655

Mailing address

PO Box 1541
Northbrook, IL 60065-1541
Phone (847) 386-7744

Other practice location 1

2780 Snelling Ave N Ste 101
Roseville, MN 55113-7115
Phone (847) 386-7744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180918004312 WI Part B Supplier - Clinic/Group Practice 7719238575 Receives reassigned benefits from 9 practitioners
Practice locations: Milwaukee, WI; Oak Creek, WI; Plymouth, WI; Racine, WI; Rhinelander, WI; Sheboygan, WI; Sun Prairie, WI; Watertown, WI…
O20260105000016 TX Part B Supplier - Clinic/Group Practice 7719238575 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX
O20260520000217 MN Part B Supplier - Clinic/Group Practice 7719238575 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, MN

National Provider Directory

National Provider Directory

Locations

550 W Frontage Rd
Ste 3520
Northfield, IL 60093
Phone (847) 877-3755

2780 Snelling Ave N
Ste 101
Roseville, MN 55113
Phone (866) 791-9611

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1215414727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1541",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600651541",
            "telephone_number": "847-386-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 E MAIN ST STE 610",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034655",
            "telephone_number": "847-386-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 Snelling Ave N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551137115",
            "country_code": "US",
            "telephone_number": "847-386-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TELEMEDICO PHYSICIANS OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "OKNER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-386-7744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.