NPIMap

Individual provider Active NPI

Andrew Kanarek, M.D.

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1497137327
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
68135-20 Issued in WI
Practice address
309 W Washington Ave Unit 208
Madison, WI 53703-3590
Phone
(857) 234-0221
NPI assigned
Jun 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6428-851 WI
Diagnostic Radiology Physician 2085R0202X 68135-20 WI Primary

Addresses

Primary practice location

309 W Washington Ave Unit 208
Madison, WI 53703-3590

Mailing address

309 W Washington Ave Unit 208
Madison, WI 53703-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190710001675 WI Practitioner - Diagnostic Radiology 6800176611 Reassigns benefits to 4 organizations
I20210706000422 RI Practitioner - Diagnostic Radiology 6800176611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6428-851WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Hospital CurrentSince Jul 1, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 3, 2019 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 3, 2019 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 18, 2020 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2020 Accepting new patients
Richland Hospital CurrentSince Jul 1, 2020 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 18, 2020 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29980 Network Pl
Chicago, IL 60673

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

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

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

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

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

Interoperability endpoints

  • Direct secure messaging: akanarek64423@direct.mhemail.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: akanarek57114@direct.southcoast.org

Organizations & group practices 10

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 4

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": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1497137327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W WASHINGTON AVE UNIT 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W WASHINGTON AVE UNIT 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033590",
            "telephone_number": "857-234-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAREK",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-27",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "6428-851",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "68135-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.