Individual provider Active NPI

Robert John Aylesworth, MD

  • Dermatology Physician
  • Rhinelander, WI
National Provider Identifier
1356397699
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
24652-02 Issued in WI
Practice address
550 E Timber Dr
Rhinelander, WI 54501-2894
Phone
(715) 369-4500
Fax
(715) 369-4832
NPI assigned
May 26, 2006
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 24652-20 WI
Dermatology Physician 207N00000X 24652-02 WI Primary

Addresses

Primary practice location

550 E Timber Dr
Rhinelander, WI 54501-2894

Mailing address

550 E Timber Dr
Rhinelander, WI 54501-2894
Phone (715) 226-9232

Other identifiers 1

IdentifierTypeStateIssuer
30463700MedicaidWI

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
I20041108000654 WI Practitioner - Dermatology 7719949502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Wisconsin School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aylesworth Dermatology SCGroup PAC ID 1557323342, 2 clinicians

Practice addresses (Care Compare)

550 E Timber Dr
Stop 1
Rhinelander, WI 54501-2894
Phone (715) 226-9232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
95
Improvement activities
40
Cost
86.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions2384
Removal of skin cancer98
Removal of nail tissue1-10
Skin biopsy189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24652-02WIMDDermatology Physician
24652-20WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aylesworth Dermatology SC Dermatology CurrentSince Nov 1, 2004 Accepting new patients

Locations

550 E Timber Dr
Rhinelander, WI 54501
Phone (715) 226-9232

550 E Timber Dr
Stop 1
Rhinelander, WI 54501
Phone (715) 226-9232

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1356397699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012894",
            "telephone_number": "715-226-9232",
            "fax_number": "498-627-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012894",
            "telephone_number": "715-369-4500",
            "fax_number": "715-369-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYLESWORTH",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "24652-20",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "24652-02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30463700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.