Individual provider Active NPI

Pamela A Propeck, MD

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1417911041
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
28692 Issued in WI
Practice address
1 S Park St
Madison, WI 53715
Phone
(608) 287-2050
Fax
(608) 265-6533
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 28692 WI Primary

Addresses

Primary practice location

1 S Park St
Madison, WI 53715

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppropeck39179@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
I20041108000398 WI Practitioner - Diagnostic Radiology 1254394695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
Richland HospitalGroup PAC ID 7618861618, 69 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

1001 Nygaard St
Stoughton, WI 53589-5495
Phone (608) 877-2660

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-7355

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779

1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 287-2770

1705 Hoffman St
Madison, WI 53704-2510
Phone (608) 441-3220

202 S Park St
Madison, WI 53715-1507
Phone (608) 287-2050

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

4131 Meridian Dr
Windsor, WI 53598-9699
Phone (608) 846-3741

4621 Eastpark Blvd
Madison, WI 53718-2000
Phone (608) 914-0100

5618 Odana Rd
Madison, WI 53719-1208
Phone (608) 274-1100

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

611 E Sherman Ave
Fort Atkinson, WI 53538-1960
Phone (888) 703-2778

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

7974 Uw Health CT
Middleton, WI 53562-5531

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28692WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare Inc CurrentSince Nov 1, 2013 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 1, 1997 Accepting new patients
Richland Hospital CurrentSince Dec 1, 2015 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 1, 1997 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Apr 1, 2001 Accepting new patients
Richland Hospital CurrentSince Dec 1, 2015 Accepting new patients

Locations

3051 Cahill Main
Fitchburg, WI 53711
Phone (608) 257-9700

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

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

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

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

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

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 7

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 8

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1417911041",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "608-287-2050",
            "fax_number": "608-265-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPECK",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "28692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppropeck39179@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.