Individual provider Active NPI

Ellie Golestanian, MD

  • Pulmonary Disease Physician
  • Madison, WI
National Provider Identifier
1376500033
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
43042 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792
Phone
(608) 263-7203
Fax
(608) 263-9103
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 43042 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 829-5485

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egolestanian3366@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
I20100609000694 WI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0749310217 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

Hospital & facility affiliations

  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
86.25
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43042WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Black River Health Inc Current Accepting new patients
Southwest Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 15, 2001 Accepting new patients
Black River Health Inc CurrentSince Aug 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Southwest Health Center, Inc Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Aug 15, 2001 Accepting new patients
Black River Health Inc CurrentSince Aug 1, 2024 Accepting new patients
Freeport Memorial Hospital CurrentSince May 31, 2024 Accepting new patients

Locations

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

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

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

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

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: egolestanian869101@direct.unitypoint.org

Organizations & group practices 10

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.

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1376500033",
    "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",
            "telephone_number": "608-829-5485"
        },
        {
            "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": "608-263-7203",
            "fax_number": "608-263-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLESTANIAN",
        "first_name": "ELLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "43042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egolestanian3366@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.