Individual provider Active NPI

Jonathan T Ketzler, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Madison, WI
National Provider Identifier
1275509754
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
34982 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792
Phone
(608) 263-8100
Fax
(608) 263-0575
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34982 WI
Pain Medicine (Anesthesiology) Physician 207LP2900X 34982 WI
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 34982 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jketzler4470@direct.uwhealth.org

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
I20100528000524 WI Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 3375672397 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Practice addresses (Care Compare)

8501 Excelsior Dr
Madison, WI 53717-1939
Phone (815) 599-6000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 1, 1997 Accepting new patients
Southwest Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince May 31, 2024 Accepting new patients
Southwest Health Center, Inc Current Accepting new patients
Southwest Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Black River Health Inc Current Accepting new patients
Black River Health Inc CurrentSince Aug 1, 2024 Accepting new patients
Black River Health Inc CurrentSince Aug 1, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 1, 1997 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Dec 1, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

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

8501 Excelsior Dr
Madison, WI 53717
Phone (608) 203-4524

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

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

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Interoperability endpoints

  • Direct secure messaging: jketzler982377@direct.unitypoint.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1275509754",
    "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": "53792",
            "telephone_number": "608-263-8100",
            "fax_number": "608-263-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETZLER",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "34982",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "34982",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "WI",
            "license": "34982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jketzler4470@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.