Individual provider Active NPI

Lisa M Schmaltz, MD

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1366410243
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
33681 Issued in WI
Practice address
408 E Washington Avenue
Apt 621
Madison, WI 53703
Phone
(608) 263-8340
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 33681 WI Primary

Addresses

Primary practice location

408 E Washington Avenue
Apt 621
Madison, WI 53703

Mailing address

408 E Washington Avenue
Apt 621
Madison, WI 53703

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
I20040614000113 WI Practitioner - Diagnostic Radiology 7012991607 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33681WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jan 1, 2000 Accepting new patients
Richland Hospital CurrentSince Dec 1, 2015 Accepting new patients
Fort Healthcare Inc CurrentSince Jan 1, 2016 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Richland Hospital CurrentSince Dec 1, 2015 Accepting new patients

Locations

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

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

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 5

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1366410243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E WASHINGTON AVENUE",
            "address_2": "APT 621",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E WASHINGTON AVENUE",
            "address_2": "APT 621",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53703",
            "telephone_number": "608-263-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALTZ",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "33681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.