Individual provider Active NPI

M. David Yoseloff, MD

  • Specialist
  • Beaver Dam, WI
National Provider Identifier
1528048956
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32703-020 Issued in WI
Practice address
116 Monroe St
Beaver Dam, WI 53916-2437
Phone
(920) 887-1153
Fax
(920) 887-1044
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32703-020 WI Primary

Addresses

Primary practice location

116 Monroe St
Beaver Dam, WI 53916-2437

Mailing address

116 Monroe St
Beaver Dam, WI 53916-2437
Phone (920) 887-1153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32703-020WIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc, Past Accepting new patients
Radiology Associates of Beaver Dam LTD Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528048956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MONROE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162437",
            "telephone_number": "920-887-1153",
            "fax_number": "920-887-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MONROE ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162437",
            "telephone_number": "920-887-1153",
            "fax_number": "920-887-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSELOFF",
        "first_name": "M.",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "32703-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.