Individual provider Active NPI

Michael Berkenbush, MD

  • Emergency Medicine Physician
  • Madison, WI
National Provider Identifier
1235660390
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
81217-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-1004
Phone
(608) 263-3258
Fax
(608) 262-7928
NPI assigned
Mar 21, 2017
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA10735000 NJ
Emergency Medicine Physician 207P00000X 81217-20 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-1004

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

Other practice location 2

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000

Other practice location 3

4602 Eastpark Blvd
Madison, WI 53718-2002
Phone (608) 440-6252

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mberkenbush1296797@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200330002885 NJ Practitioner - Emergency Medicine 6002245800 Reassigns benefits to 3 organizations
I20230124001921 WI Practitioner - Emergency Medicine 6002245800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morristown Emergency Medical Associates LLCGroup PAC ID 7618136078, 82 clinicians
Newton Emergency Medical Associates LLCGroup PAC ID 3678735057, 31 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (954) 939-5000

175 High St
Newton, NJ 07860-1004
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10735000NJMDEmergency Medicine Physician
81217-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Emergency Medical Associates LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 1, 2023 Accepting new patients
Hackettstown Emergency Medical Associates LLC Emergency Medicine CurrentSince Sep 8, 2020 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 1, 2023 Accepting new patients
Morristown Emergency Medical Associates LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

175 High St
Newton, NJ 07860
Phone (973) 383-2121

4602 Eastpark Blvd
Madison, WI 53718
Phone (608) 263-7540

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

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

Interoperability endpoints

  • Direct secure messaging: mberkenbush1296797@direct.uwhealth.org

Organizations & group practices 5

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1235660390",
    "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": "537921004",
            "telephone_number": "608-263-3258",
            "fax_number": "608-262-7928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 High St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "NJ",
            "postal_code": "078601004",
            "country_code": "US",
            "telephone_number": "973-383-2121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4602 Eastpark Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537182002",
            "country_code": "US",
            "telephone_number": "608-440-6252",
            "fax_number": "608-234-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKENBUSH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA10735000",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "81217-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mberkenbush1296797@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537921004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.