Cristian Anibal Ambrosio, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Madison, WI
NPI 1245025980 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1245025980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 749 University Row Ste 200
Madison, WI 53705-1465 - Phone
- (608) 263-6400
- NPI assigned
- Apr 14, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20250715004062 | WI | Order and Referring Only - Neurology |
3870008162 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
749 University Row Ste 200
Madison, WI 53705-1465
Mailing address
749 University Row Ste 200
Madison, WI 53705-1465
Other providers in Madison, WI
- Hannet Tibagwa Ambord
- Joel Curtis Ambord
- Madeline Jean Ambord
- Lisa L. Ambrose
- Noelle Ambrose
- Claire Louise Ambrowiak
- Christoffer Alton Dimla Amdahl
- Amdcounseling
- Amedisys Wisconsin LLC
- Christina Amend
All providers in Madison, WI · Student in an Organized Health Care Education/Training Program in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 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.