Individual provider Active NPI

James E Quackenbush, MD

  • Family Medicine Physician
  • Sun Prairie, WI
National Provider Identifier
1568488658
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40227-020 Issued in WI
Practice address
2501 Ironwood Dr Apt 227
Sun Prairie, WI 53590-8836
Phone
(609) 658-4508
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40227-020 WI Primary

Addresses

Primary practice location

2501 Ironwood Dr Apt 227
Sun Prairie, WI 53590-8836

Mailing address

2501 Ironwood Dr Apt 227
Sun Prairie, WI 53590-8836
Phone (609) 658-4508

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
I20040323001752 WI Practitioner - Family Practice 7911898424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Hyperbaric Oxygen LLCGroup PAC ID 6305256090, 3 clinicians

Practice addresses (Care Compare)

4660 S Biltmore LN
Madison, WI 53718-2104
Phone (608) 284-8654

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40227-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Hyperbaric Oxygen LLC CurrentSince Oct 31, 2023 Accepting new patients

Locations

4660 S Biltmore Ln
Madison, WI 53718
Phone (608) 284-8654

Organizations & group practices 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1568488658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 IRONWOOD DR APT 227",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535908836",
            "telephone_number": "609-658-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 IRONWOOD DR APT 227",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535908836",
            "telephone_number": "609-658-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACKENBUSH",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40227-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

Verify at the official NPI Registry.