Individual provider Active NPI

Mary L Stoffel, M.D.

  • Gynecology Physician
  • Madison, WI
National Provider Identifier
1437111036
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
31084-020 Issued in WI
Practice address
5801 Research Park Blvd
Suite 400
Madison, WI 53719-6002
Phone
(608) 729-6300
Fax
(608) 729-1099
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 31084-020 WI Primary

Addresses

Primary practice location

5801 Research Park Blvd
Suite 400
Madison, WI 53719-6002

Mailing address

5801 Research Park Blvd
Suite 400
Madison, WI 53719-6002
Phone (608) 729-6300

Other identifiers 1

IdentifierTypeStateIssuer
31599100MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address mstoffel383332@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31084-020WIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Oct 25, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Oct 25, 2023 Accepting new patients
Watertown Physician Practices LLC CurrentSince Apr 24, 2020 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Aug 1, 2024 Accepting new patients
St. Francis Hospital CurrentSince Oct 1, 2023 Accepting new patients
St. Francis Hospital Current Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Sep 8, 2022 Accepting new patients
St Francis Hospital CurrentSince Oct 1, 2023 Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients

Locations

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 204
Escanaba, MI 49829
Phone (906) 736-1356

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

4303 Michigan Ave
Manitowoc, WI 54220
Phone (920) 320-4300

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

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

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

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Interoperability endpoints

  • Direct secure messaging: mstoffel890561@direct.emplifyhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1437111036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 RESEARCH PARK BLVD",
            "address_2": "SUITE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537196002",
            "telephone_number": "608-729-6300",
            "fax_number": "608-729-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 RESEARCH PARK BLVD",
            "address_2": "SUITE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537196002",
            "telephone_number": "608-729-6300",
            "fax_number": "608-729-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFEL",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WI",
            "license": "31084-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31599100",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstoffel383332@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mstoffel383332@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.