Individual provider Active NPI

Nicholas John Stabo, M.D.

  • Diagnostic Radiology Physician
  • Madison, WI
National Provider Identifier
1568817815
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
6858320 Issued in WI
Practice address
Uw Hospital and Clinics
600 Highland Avenue
Madison, WI 53792-0001
Phone
(608) 263-6400
NPI assigned
Apr 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6858320 WI Primary

Addresses

Primary practice location

Uw Hospital and Clinics
600 Highland Avenue
Madison, WI 53792-0001

Mailing address

615 Valley View Dr
Ste 202
Moline, IL 61265-6180
Phone (608) 263-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200812002868 WI Practitioner - Diagnostic Radiology 5496048555 Reassigns benefits to 12 organizations
I20200824000757 IA Practitioner - Diagnostic Radiology 5496048555 Reassigns benefits to 2 organizations
I20200828001098 IL Practitioner - Diagnostic Radiology 5496048555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 762-1072

507 S Monroe St
Lancaster, WI 53813-2054
Phone (309) 762-1072

615 Valley View Dr
Suite 202
Moline, IL 61265-6180
Phone (309) 762-1072

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6858320WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Metro MRI Center Limited Partnership CurrentSince Sep 3, 2020 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2020 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Nov 1, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Nov 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2020 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Nov 1, 2025 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 120
Bettendorf, IA 52722
Phone (563) 355-2210

29980 Network Pl
Chicago, IL 60673

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227

615 Valley View Dr
Ste 101
Moline, IL 61265
Phone (309) 743-0445

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: nstabo304934@direct.unitypoint.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1568817815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "STE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656180",
            "telephone_number": "608-263-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UW HOSPITAL AND CLINICS",
            "address_2": "600 HIGHLAND AVENUE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABO",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-24",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "6858320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.