Masaru Furukawa, MD
Individual provider Active NPI Family Medicine Physician · Spring Green, WI
NPI 1447484258 · NPPES record last updated Mar 24, 2021
Key facts
- NPI
- 1447484258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 54822 (WI)
- Practice address
- 436 Sunrise Dr
Spring Green, WI 53588-9286 - Phone
- (608) 588-2502
- Fax
- (608) 588-7724
- NPI assigned
- May 7, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Vermont College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sauk Prairie Healthcare Inc
Practice addresses (Care Compare)
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-2471
Hospital & facility affiliations
- Agrace Hospicecare
- Sauk Prairie Hospital
- University of Wi Hospitals & Clinics Authority
- Richland Hospital
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 |
|---|---|---|---|---|
| I20131004000185 | WI | Practitioner - Family Practice |
3577797638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54822 | WI | MD | Family Medicine Physician |
| 54822-020 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Family Medicine | Current |
Accepting new patients |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
436 Sunrise Dr
Spring Green, WI 53588
Phone (608) 588-2502
Interoperability endpoints
- masaru.furukawa@direct.saukprairiehealthcare.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 54822-020 | WI | |
| Family Medicine Physician | 207Q00000X | 54822 | WI | Yes |
Addresses
Primary practice location
436 Sunrise Dr
Spring Green, WI 53588-9286
Mailing address
436 Sunrise Dr
Spring Green, WI 53588-9286
Phone (608) 588-2502
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | saukprairie@directclinics.saukprairiehealthcare.org |
Other providers in Spring Green, WI
- Kelsi Marie Craker
- Maria A Denu
- Driftless Diabetes Management, LLC
- Edward Wolpert MD SC LTD
- Luke W Fortney
- Felyce Gilford
- Lauren Gullickson
- Alisha M Hahn
- McKenzie Hansen
- Bobbi Hartley
All providers in Spring Green, WI · Family Medicine 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 Mar 24, 2021. 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.