Active NPI
Robert G Wells, MD
- Diagnostic Radiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23901
- Practice address
- 2801 W Kinnickinnic River Pkwy
Suite 355
Milwaukee, WI 53215-3669 - Phone
- (414) 649-6430
- Fax
- (414) 649-5563
- NPI assigned
- May 10, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME 104663 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 23901 | WI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 27019 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | 036.098953 | IL |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy
Suite 355
Milwaukee, WI 53215-3669
Mailing address
700 S Park St
Madison, WI 53715-1830
Phone (800) 841-4236
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202926 | Other | IL | GROUP PTAN |
| 313-96200 | Medicaid | WI | |
| 036098953 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Tower Dr
Sun Prairie, WI 53590-1239
Phone (608) 825-3500
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
1310 Broadway
Wisconsin Dells, WI 53965-1358
Phone (608) 253-1171
1700 Tuttle St
Baraboo, WI 53913-3319
Phone (608) 355-3800
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
740 Reena Ave
Fort Atkinson, WI 53538-3145
Phone (920) 563-0888
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
- The Monroe Clinic
- SSM Health St Clare Hospital - Baraboo
- Reedsburg Area Medical Center
- Lafayette Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 104663 | FL | MD | Diagnostic Radiology Physician |
| 036.098953 | IL | MD | Diagnostic Radiology Physician |
| 27019 | OK | MD | Diagnostic Radiology Physician |
| 23901 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ermed, SC | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Contract X-Ray Services, Inc. | Current | Accepting new patients | |
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Current | Accepting new patients |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Beloit Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Global Medical Imaging, SC | Diagnostic Radiology | Past | Accepting new patients |
| Pediatric Diagnostic Imaging, S.C. | Past | Accepting new patients |
Locations
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
800 Clay St
Darlington, WI 53530
Phone (608) 776-4466
340 Midland Rd
Ste 120
Janesville, WI 53546
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Organizations & group practices 11
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Diagnostic Radiology Physician
- Madison, WI
- NPI 1871573725
-
- Diagnostic Radiology Physician
- Beloit, WI
- NPI 1386661734
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
-
- Diagnostic Radiology Physician
- Greenfield, WI
- NPI 1568564904
-
- Radiology Clinic/Center
- Milwaukee, WI
- NPI 1033121629
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1023076296
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tulsa, OK
- NPI 1760914477
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Diagnostic Radiology Physician
- Libertyville, IL
- NPI 1144217142
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Darlington, WI
- NPI 1114987054
-
- Medicare Defined Swing Bed Hospital Unit
- Darlington, WI
- NPI 1689787954
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1376592832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151830",
"telephone_number": "800-841-4236",
"fax_number": "316-652-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY",
"address_2": "SUITE 355",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153669",
"telephone_number": "414-649-6430",
"fax_number": "414-649-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "ROBERT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME 104663",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "23901",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "27019",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.098953",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "202926",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313-96200",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036098953",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.