Individual provider Active NPI

Burt James Steffes, MD

  • Dermatology Physician
  • Fond Du Lac, WI
National Provider Identifier
1548449614
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
53448 Issued in WI
Practice address
145 N Main St
Fond Du Lac, WI 54935-3423
Phone
(920) 926-8722
NPI assigned
Oct 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 53448 WI Primary

Addresses

Primary practice location

145 N Main St
Fond Du Lac, WI 54935-3423

Mailing address

2102 Continental Dr
West Bend, WI 53095-7898
Phone (262) 558-4367

Other identifiers 2

IdentifierTypeStateIssuer
P00765313OtherWIRAILROAD MEDICARE
100004929MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000680 WI Practitioner - Dermatology 4880730290 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2102 Continental Dr
West Bend, WI 53095-7898
Phone (262) 558-4367

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions619
Removal of skin cancer99
Skin biopsy212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53448WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Feb 24, 2020 Accepting new patients
Dermatology and Cosmetic Physicians, SC Dermatology CurrentSince Sep 10, 2018 Accepting new patients
Dean Health Systems, Inc. CurrentSince Jun 9, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 24, 2020 Accepting new patients
Dean Health Systems, Inc Dermatology CurrentSince Jun 9, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 24, 2020 Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1096 S Main St
Ste 200
Fond du Lac, WI 54935
Phone (262) 558-4367

1088 S Main St
Fond du Lac, WI 54935
Phone (262) 558-4367

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

752 N High Point Rd
Madison, WI 53717
Phone (608) 824-4000

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

2102 Continental Dr
West Bend, WI 53095
Phone (262) 558-4367

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00078

Organizations & group practices 6

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": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1548449614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CONTINENTAL DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530957898",
            "telephone_number": "262-558-4367",
            "fax_number": "920-569-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N MAIN ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353423",
            "telephone_number": "920-926-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFES",
        "first_name": "BURT",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "53448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00765313",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004929",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.