Jason Y Ankumah-Saikoom, M.D.
Individual provider Active NPI Pediatrics Physician · Platteville, WI
NPI 1235303967 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1235303967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 53876-20 (WI)
- Practice address
- 1450 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 348-4330
- Fax
- (608) 342-4801
- NPI assigned
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110921000859 | WI | Practitioner - Pediatric Medicine | 6709057813 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Southwest Health Center, Inc | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Dean Health Systems, Inc | Current |
Accepting new patients | |
| Dean Health Systems, Inc. | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Past | Accepting new patients | |
| Dean Health Systems, Inc, | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1700 Tuttle St
Baraboo, WI 53913
Phone (608) 355-3800
133 Performance Dr
Darlington, WI 53530
Phone (608) 776-2443
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
1450 Eastside Rd
#2
Platteville, WI 53818
1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 53876-20 | WI | Yes |
Addresses
Primary practice location
1450 Eastside Rd
Platteville, WI 53818-9800
Mailing address
1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235303967 | Medicaid | WI |
Other providers in Platteville, WI
- Samantha Albrigtson
- Tiffany M Allen
- Karley Elizabeth Anderson
- Mackenzie Rachel Anderson
- Sandra Lynn Anderson
- Taryn Marie Arndt
- Matti Pekka Asuma
- Chloe Mae Bainbridge
- Jennifer Barraza
- Kori Barry
All providers in Platteville, WI · Pediatrics Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.