NPIMap

Individual provider Active NPI

Rian J Podein, MD

  • Family Medicine Physician
  • Lodi, WI
National Provider Identifier
1467417576
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46068 Issued in WI
Practice address
160 Valley Drive
Lodi, WI 53555
Phone
(608) 592-3296
NPI assigned
Apr 20, 2006
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46068 WI Primary

Addresses

Primary practice location

160 Valley Drive
Lodi, WI 53555

Mailing address

260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 592-3296

Other practice location 1

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saukprairie@directclinics.saukprairiehealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000671 WI Practitioner - Family Practice 1850326109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, shared by 9 NPIs, 122 clinicians
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians

Practice addresses (Care Compare)

160 Valley Dr
Lodi, WI 53555-1464
Phone (608) 592-3296

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

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
46068WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk Prairie Healthcare, Inc. Family Medicine CurrentSince Feb 26, 2018 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Feb 26, 2018 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Sauk Prairie Healthcare Inc Family Medicine Past Accepting new patients

Locations

160 Valley Dr
Lodi, WI 53555
Phone (608) 592-3296

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rian.podein@direct.saukprairiehealthcare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1467417576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 26TH ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782203",
            "telephone_number": "608-592-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 VALLEY DRIVE",
            "city": "LODI",
            "state": "WI",
            "postal_code": "53555",
            "telephone_number": "608-592-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7102 Mineral Point Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537171706",
            "country_code": "US",
            "telephone_number": "608-828-7603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODEIN",
        "first_name": "RIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "46068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saukprairie@directclinics.saukprairiehealthcare.org",
            "affiliation": "N",
            "address_1": "160 Valley Drive",
            "city": "Lodi",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lodi, WI

Sources for this page

Verify at the official NPI Registry.