NPIMap

Individual provider Active NPI

Elizabeth S Burnside Rollins, MD MPH MS

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1306801980
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43349 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792
Phone
(608) 263-8340
Fax
(608) 265-6533
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 43349 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792

Mailing address

917 Hidden Cave Rd
Madison, WI 53717-2759
Phone (608) 658-7925

Other names 1

  • Elizabeth S Burnside Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eburnside3340@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112001103 WI Practitioner - Diagnostic Radiology 4880658541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin System Non Payroll 111 clinicians
University of Wisconsin Medical Foundation Inc 2,537 clinicians

Practice addresses (Care Compare)

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

1620 Mehta LN
Fort Atkinson, WI 53538-9178
Phone (920) 563-5544

6001 Research Park Blvd
Madison, WI 53719-1176
Phone (608) 232-3171

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 26, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 26, 2017 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Nov 23, 2009 Accepting new patients
University of Wisconsin System Non Payroll CurrentSince Nov 23, 2009 Accepting new patients
St. Joseph'S Health Services, Inc. Past Accepting new patients

Locations

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

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

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

Interoperability endpoints

  • Direct secure messaging: eburnside3340@direct.uwhealth.org

Organizations & group practices 25

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 25

Hospital & facility affiliations 3

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1306801980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 HIDDEN CAVE RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172759",
            "telephone_number": "608-658-7925"
        },
        {
            "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": "608-263-8340",
            "fax_number": "608-265-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE ROLLINS",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "credential": "MD MPH MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "43349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eburnside3340@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": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BURNSIDE",
            "middle_name": "S",
            "credential": "MD MPH MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.