Active NPI
M. David Yoseloff, MD
- Specialist
- Beaver Dam, WI
National Provider Identifier
1528048956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 32703-020
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 32703-020 | WI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Durable Medical Equipment & Medical Supplies
- Beaver Dam, WI
- NPI 1336425016
-
- Diagnostic Radiology Physician
- Beaver Dam, WI
- NPI 1942201876
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.