Individual provider Active NPI

Steven D Bush, MD

  • Obstetrics & Gynecology Physician
  • La Crosse, WI
National Provider Identifier
1598879777
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
61352 Issued in WI
Practice address
800 West Ave S
La Crosse, WI 54601-8806
Phone
(608) 785-0940
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 61352 WI Primary
Obstetrics & Gynecology Physician 207V00000X 036088552 IL

Addresses

Primary practice location

800 West Ave S
La Crosse, WI 54601-8806

Mailing address

PO Box 657
Suite 200
St Charles, IL 60174-0657
Phone (630) 897-6044

Other practice location 1

3310 W Main St
Suite 200
St Charles, IL 60175-1000
Phone (630) 897-6044

Other identifiers 1

IdentifierTypeStateIssuer
036088552MedicaidIL

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
I20131122000599 WI Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 3476443763 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19475 W N Ave
Suite 305
Brookfield, WI 53045-4199
Phone (414) 443-6040

2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone (414) 319-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088552ILMDObstetrics & Gynecology Physician
61352WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Obstetrics & Gynecology CurrentSince May 5, 2023 Accepting new patients
Obhg Wisconsin, S.C. Obstetrics & Gynecology CurrentSince Sep 3, 2018 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 1, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Dec 6, 2024 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Dec 6, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

19475 W North Ave
Ste 305
Brookfield, WI 53045
Phone (262) 780-4070

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

4303 Michigan Ave
Manitowoc, WI 54220
Phone (920) 320-4300

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

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

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

800 Lakefront Way
Two Rivers, WI 54241
Phone (920) 320-2011

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1598879777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "address_2": "SUITE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601740657",
            "telephone_number": "630-897-6044",
            "fax_number": "630-897-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEST AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018806",
            "telephone_number": "608-785-0940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 W Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601751000",
            "country_code": "US",
            "telephone_number": "630-897-6044",
            "fax_number": "630-897-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "STEVEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "61352",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036088552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088552",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.