Individual provider Active NPI

Nicholas C Laucis, MD

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1255782116
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
76964-20 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-6712
Phone
(608) 263-9729
Fax
(608) 263-0682
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 76964 WI
Diagnostic Radiology Physician 2085R0202X 76964-20 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-6712

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

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
I20220609002973 WI Practitioner - Diagnostic Radiology 6901190891 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
Richland HospitalGroup PAC ID 7618861618, 69 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1111 Highland Ave
Madison, WI 53705-2275
Phone (608) 265-8731

1705 Hoffman St
Madison, WI 53704-2510
Phone (608) 441-3220

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 222-9777

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76964WIMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Hospital CurrentSince Jun 28, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2022 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2022 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jul 1, 2022 Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2022 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jul 12, 2022 Accepting new patients
Fort Healthcare Inc Orthopaedic Surgery CurrentSince Jul 1, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Jul 1, 2022 Accepting new patients
Richland Hospital CurrentSince Jun 28, 2023 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

1620 Mehta Ln
Fort Atkinson, WI 53538
Phone (920) 563-5544

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

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

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

1111 Highland Ave
Madison, WI 53705
Phone (608) 265-3596

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

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

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: nlaucis891318@direct.unitypoint.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1255782116",
    "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": "537926712",
            "telephone_number": "608-263-9729",
            "fax_number": "608-263-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUCIS",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "WI",
            "license": "76964",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "76964-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.