Individual provider Active NPI

Douglas Robert Kitchin, MD

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1417138546
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
56732-20 Issued in WI
Practice address
700 S Park St
Madison, WI 53715-1830
Phone
(608) 251-6100
Fax
(608) 826-2710
NPI assigned
Nov 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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 56732-20 WI Primary

Addresses

Primary practice location

700 S Park St
Madison, WI 53715-1830

Mailing address

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

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
I20120307000092 WI Practitioner - Diagnostic Radiology 4688833940 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Radiologists S CGroup PAC ID 1951209311, 58 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

11101 N Sherman Rd
Edgerton, WI 53534-9002
Phone (608) 884-3441

1313 Fish Hatchery Rd
2B
Madison, WI 53715-1911
Phone (608) 252-8000

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

1700 Tuttle St
Baraboo, WI 53913-3319
Phone (608) 355-3800

1900 N Dewey Ave
Reedsburg, WI 53959-2214
Phone (608) 524-6487

2000 N Dewey Ave
Reedsburg, WI 53959-1049
Phone (608) 524-6487

260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-3311

3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8000

4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501

515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-1000

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

800 Clay St
Darlington, WI 53530-1228
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 935-2711

900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083
  • The Monroe Clinic Hospital, Monroe, WI, CCN 520028
  • SSM Health St Clare Hospital - Baraboo Hospital, Baraboo, WI, CCN 520057
  • Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
  • Reedsburg Area Medical Center Hospital, Reedsburg, WI, CCN 521351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. CurrentSince Jul 1, 2014 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 1, 2012 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 1, 2012 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince May 31, 2020 Accepting new patients
Dean Health Systems, Inc CurrentSince Jul 1, 2014 Accepting new patients
Shared Medical Services, Inc. CurrentSince Mar 10, 2017 Accepting new patients

Locations

1700 Tuttle St
Baraboo, WI 53913
Phone (608) 355-3800

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

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

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

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

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

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

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Organizations & group practices 8

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 6

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1417138546",
    "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": "608-251-6100",
            "fax_number": "608-826-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151830",
            "telephone_number": "608-251-6100",
            "fax_number": "608-826-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHIN",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "56732-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.