NPIMap

Individual provider Active NPI

William Chubb, DPM

  • Podiatrist
  • Madison, WI
National Provider Identifier
1508879826
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
676 Issued in WI
Practice address
6661 Odana Rd
Madison, WI 53719-1011
Phone
(608) 829-2535
Fax
(608) 829-1319
NPI assigned
Aug 15, 2006
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 676 WI Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 676 WI
Foot Surgery Podiatrist 213ES0131X 676 WI

Addresses

Primary practice location

6661 Odana Rd
Madison, WI 53719-1011

Mailing address

6661 Odana Rd
Madison, WI 53719-1011
Phone (608) 829-2535

Other identifiers 1

IdentifierTypeStateIssuer
43219900MedicaidWI

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
I20040120000186 WI Practitioner - Podiatry 0749181030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Podiatrists LLPGroup PAC ID 6305747692, 3 clinicians

Practice addresses (Care Compare)

6510 Grand Teton Plaza
Suite 406
Madison, WI 53719-1029
Phone (608) 829-2535

6510 Grand Teton PLZ
Madison, WI 53719-1029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Merit-based Incentive Payment System (MIPS)

Final score
81.31 of 100Reported as individual
Quality
62.61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue60
Removal of skin lesions25
Removal of nail tissue1978
Removal or shaving of skin growth933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
676WIMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Associated Podiatrists, LLP Podiatrist CurrentSince Jul 1, 1994 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Feb 8, 2010 Accepting new patients
Associated Podiatrists, LLP Podiatrist Past Accepting new patients

Locations

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1705 Hoffman St
Ste 150
Madison, WI 53704
Phone (608) 441-3220

2830 Dryden Dr
Ste 102
Madison, WI 53704
Phone (608) 244-1772

6510 Grand Teton Plz
Ste 406
Madison, WI 53719
Phone (608) 829-2535

6661 Odana Rd
Madison, WI 53719
Phone (608) 829-2535

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/81ed713e-778e-4b5c-9b69-03c747a235d6/
  • Direct secure messaging: wchubb259865@direct-ehr-ssmhc.com
  • Direct secure messaging: wchubb299974@direct.unitypoint.org

Organizations & group practices 4

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 11

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1508879826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6661 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191011",
            "telephone_number": "608-829-2535",
            "fax_number": "608-829-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6661 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191011",
            "telephone_number": "608-829-2535",
            "fax_number": "608-829-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBB",
        "first_name": "WILLIAM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "676",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "676",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43219900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.