Active NPI
Roberta G Kurtz, MD
- Cardiovascular Disease Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 44971-020
- Practice address
- 700 S Park St
St Marys Hospital Dean Medical Center
Madison, WI 53715-1849 - Phone
- (608) 258-5020
- Fax
- (608) 258-5076
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 44971-020 | WI | Primary |
Addresses
Primary practice location
700 S Park St
St Marys Hospital Dean Medical Center
Madison, WI 53715-1849
Mailing address
700 S Park St
St Marys Hospital Dean Medical Center
Madison, WI 53715-1849
Phone (608) 258-5020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60132 | Other | WI | DEAN HEALTH INSURANCE |
| 34295700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44971-020 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Cardiovascular Disease | Current | Accepting new patients |
Locations
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
715 W Pleasant St
Portage, WI 53901
Phone (608) 745-5900
100 N Main St
Richland Ctr, WI 53581
Phone (608) 647-8995
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1265489314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"address_2": "ST MARYS HOSPITAL DEAN MEDICAL CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "537151849",
"telephone_number": "608-258-5020",
"fax_number": "608-258-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"address_2": "ST MARYS HOSPITAL DEAN MEDICAL CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "537151849",
"telephone_number": "608-258-5020",
"fax_number": "608-258-5076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "ROBERTA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "44971-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "60132",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34295700",
"state": "WI"
}
],
"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 May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.