Active NPI
Allen M Medini, MD
- Family Medicine Physician
- New Richmond, WI
National Provider Identifier
1376525246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43614
- Practice address
- 551 Hospital Rd
New Richmond, WI 54017-1449 - Phone
- (715) 243-3400
- Fax
- (715) 243-3415
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43614 | WI | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 43614 | WI |
Addresses
Primary practice location
551 Hospital Rd
New Richmond, WI 54017-1449
Mailing address
551 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34376300 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600
Hospital & facility affiliations
- Lakeview Homecare
- Interim Healthcare of Western Wisconsin
- Westfields Hospital and Clinic
- Amery Hospital & Clinic
- Hudson Hospital
- Lakeview Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.87 of 100
- Quality
- 92.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43614 | WI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westfields Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Westfields Hospital, Inc | Current | Accepting new patients |
Locations
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
551 Hospital Rd
New Richmond, WI 54017
Phone (715) 243-3400
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
Interoperability endpoints
- amedini31587@direct.healthpartners.com
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Osceola, WI
- NPI 1477228070
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
Hospital
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Hospital
-
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
- Home Health Agency
- Hudson, WI
- NPI 1770675712
-
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1538138003
-
- Home Health Agency
- Oak Park Heights, MN
- NPI 1174522239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1376525246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-243-3400",
"fax_number": "715-243-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-243-3400",
"fax_number": "715-243-3415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINI",
"first_name": "ALLEN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "43614",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WI",
"license": "43614",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34376300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.