Individual provider Active NPI

Ronald Scott Sokovich, M.D., F.A.C.S.

  • Urology Physician
  • Watertown, WI
National Provider Identifier
1396796074
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
32955-020 Issued in WI
Practice address
123 Hospital Dr Ste 2006
Watertown, WI 53098-3320
Phone
(920) 261-1334
Fax
(920) 261-8755
NPI assigned
May 15, 2006
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 32955-020 WI Primary

Addresses

Primary practice location

123 Hospital Dr Ste 2006
Watertown, WI 53098-3320

Mailing address

123 Hospital Dr Ste 2006
Watertown, WI 53098-3320
Phone (920) 261-1334

Other identifiers 4

IdentifierTypeStateIssuer
31930100MedicaidWI
553251OtherWIDEAN HEALTH PLAN
1023956OtherWIPHYSCIANS PLUS
340015746OtherWIRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rsokovich266704@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041022000151 WI Practitioner - Urology 3870552250 Reassigns benefits to 2 organizations
I20170629001485 IL Practitioner - Urology 3870552250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Hospital Dr
Watertown, WI 53098-3320

125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 262-4449

1507 Doctors CT
Watertown, WI 53094-4101
Phone (920) 261-4111

2700 W 9TH Ave
Oshkosh, WI 54904-7247
Phone (920) 223-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32955-020WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Watertown Physician Practices LLC Urology CurrentSince Sep 1, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2022 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 13, 2019 Accepting new patients
Watertown Physician Practices LLC CurrentSince Sep 1, 2015 Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Mar 1, 2020 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Feb 13, 2019 Accepting new patients
Watertown Urology, S.C. Urology Past Accepting new patients

Locations

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

28594 Network Pl
Chicago, IL 60673

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

2 Good Samaritan Way
Ste 420
Mount Vernon, IL 62864
Phone (618) 899-4000

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

123 Hospital Dr
Ste 2002
Watertown, WI 53098
Phone (920) 261-1334

123 Hospital Dr
Ste 2006
Watertown, WI 53098
Phone (920) 261-1334

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

Interoperability endpoints

  • Direct secure messaging: ronald.sokovich.1@17022.direct.athenahealth.com

Organizations & group practices 9

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1396796074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR STE 2006",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983320",
            "telephone_number": "920-261-1334",
            "fax_number": "920-261-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR STE 2006",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983320",
            "telephone_number": "920-261-1334",
            "fax_number": "920-261-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOVICH",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "32955-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31930100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "553251",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSCIANS PLUS",
            "identifier": "1023956",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340015746",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsokovich266704@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 N Highland Ave",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605061404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1221 N Highland Ave",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605061404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

Verify at the official NPI Registry.