Individual provider Active NPI

Austin Tray Klute, DC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1265074306
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5531-12 Issued in WI
Practice address
6075 Gemini Dr Ste 101
Madison, WI 53718-3013
Phone
(608) 338-5901
NPI assigned
Oct 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013448 IL
Chiropractor 111N00000X 5531-12 WI Primary

Addresses

Primary practice location

6075 Gemini Dr Ste 101
Madison, WI 53718-3013

Mailing address

3508 Cambridge CT Apt 2
Danville, IL 61832-7938
Phone (608) 338-5901

Other practice location 1

3595 N Vermilion St
Danville, IL 61832-1337
Phone (217) 442-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915000129 WI Practitioner - Chiropractic 9133451172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6075 Gemini Dr
Suite 101
Madison, WI 53718-3013
Phone (608) 471-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013448ILMDChiropractor
5531-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Chiropractic LLC CurrentSince Jul 27, 2020 Accepting new patients

Locations

6075 Gemini Dr
#101
Madison, WI 53718
Phone (608) 338-5901

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1265074306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 CAMBRIDGE CT APT 2",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618327938",
            "telephone_number": "608-338-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 GEMINI DR STE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183013",
            "telephone_number": "608-338-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3595 N Vermilion St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618321337",
            "country_code": "US",
            "telephone_number": "217-442-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUTE",
        "first_name": "AUSTIN",
        "middle_name": "TRAY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013448",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5531-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.