Individual provider Active NPI

Jason Y Ankumah-Saikoom, M.D.

  • Pediatrics Physician
  • Platteville, WI
National Provider Identifier
1235303967
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
53876-20 Issued in WI
Practice address
1450 Eastside Rd
Platteville, WI 53818-9800
Phone
(608) 348-4330
Fax
(608) 342-4801
NPI assigned
Apr 14, 2008
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 53876-20 WI Primary

Addresses

Primary practice location

1450 Eastside Rd
Platteville, WI 53818-9800

Mailing address

1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330

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
I20110921000859 WI Practitioner - Pediatric Medicine 6709057813 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53876-20WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Nov 1, 2014 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Southwest Health Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Dean Health Systems, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 8, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 8, 2019 Accepting new patients
Southwest Health Center, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Southwest Health Center, Inc CurrentSince Dec 1, 2025 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

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331

1450 Eastside Rd
#2
Platteville, WI 53818

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1235303967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-4330",
            "fax_number": "608-342-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-4330",
            "fax_number": "608-342-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKUMAH-SAIKOOM",
        "first_name": "JASON",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "53876-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.