Patricia L. Bellissimo, MD
Individual provider Active NPI Pediatrics Physician · Madison, WI
NPI 1437193992 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1437193992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 31518-020 (WI)
- Practice address
- 1821 S Stoughton Rd
Madison, WI 53716-2257 - Phone
- (608) 260-6000
- Fax
- (608) 260-6289
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Wisconsin School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dean Health Systems Inc
Practice addresses (Care Compare)
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100616000126 | WI | Practitioner - Pediatric Medicine | 8527198662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31518-020 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc. | Current |
Accepting new patients | |
| Dean Health Systems, Inc | Current |
Accepting new patients |
Locations
1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- pbellissimo258634@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31518-020 | WI | Yes |
Addresses
Primary practice location
1821 S Stoughton Rd
Madison, WI 53716-2257
Mailing address
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437193992 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbellissimo258634@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | pbellissimo258634@direct-ehr-ssmhc.com | Direct |
Other providers in Madison, WI
- Marc A Bellazzini
- Thomas G Bellehumeur
- Jessica Bellis
- Bridget Louise Bellissimo
- Joseph A Bellissimo
- Marissa Grace Bello
- Teresa Bellrichard
- Lorna E Belsky
- Patrick Belton
- Estefan Beltran
All providers in Madison, WI · Pediatrics Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.