Active NPI
Heather Marie Metcalf
- Pediatrics Physician
- Madison, WI
National Provider Identifier
1508137076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 63846-20
- Practice address
- 202 S Park St
Madison, WI 53715-1507 - Phone
- (608) 417-6236
- Fax
- (608) 417-6377
- NPI assigned
- Jan 15, 2012
- Last updated
- Nov 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 63846-20 | WI | Primary |
Addresses
Primary practice location
202 S Park St
Madison, WI 53715-1507
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 829-5485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63846-20 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Children's Hospital | Pediatrics | Current | Accepting new patients |
| Children's Hospital | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Past | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
Organizations & group practices 5
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.
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
dba Children's National Specialty Pharmacy
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
dba Children's National Medical Associates
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1508137076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531",
"telephone_number": "608-829-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-6236",
"fax_number": "608-417-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "HEATHER",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-15",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "63846-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.