Individual provider Active NPI

Erick T Sheftic, MD

  • Psychiatry Physician
  • Madison, WI
National Provider Identifier
1629464177
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
67363 Issued in WI
Practice address
2901 International LN Ste 100
Madison, WI 53704-3177
Phone
(608) 217-3798
Fax
(608) 480-8070
NPI assigned
Apr 11, 2015
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 67363 WI Primary

Addresses

Primary practice location

2901 International LN Ste 100
Madison, WI 53704-3177

Mailing address

2901 International LN Ste 100
Madison, WI 53704-3177
Phone (608) 217-3798

Other identifiers 1

IdentifierTypeStateIssuer
100047656MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address esheftic399722@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20190723000005 WI Practitioner - Psychiatry 4486959376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Emergency Center, Inc.Group PAC ID 3274916044, 24 clinicians

Practice addresses (Care Compare)

1525 N 12TH St
Milwaukee, WI 53205-2591
Phone (414) 966-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67363WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meriter Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Mental Health Emergency Center, Inc. CurrentSince Mar 8, 2024 Accepting new patients
Catalyst for Change Inc CurrentSince Jul 21, 2024 Accepting new patients
Meriter Hospital, Inc. Current Accepting new patients
Accelerated Psychiatry, SC Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
Meriter Hospital, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Our Generations Inc. Past Accepting new patients

Locations

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

2901 International Ln
Ste 100
Madison, WI 53704
Phone (608) 217-3798

6502 Grand Teton Plz
Ste 107
Madison, WI 53719
Phone (608) 405-5689

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1525 N 12th St
Milwaukee, WI 53205
Phone (414) 966-3030

Interoperability endpoints

  • Direct secure messaging: esheftic399722@direct.myadvocateaurora.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1629464177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 INTERNATIONAL LN STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043177",
            "telephone_number": "608-217-3798",
            "fax_number": "608-480-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 INTERNATIONAL LN STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043177",
            "telephone_number": "608-217-3798",
            "fax_number": "608-480-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFTIC",
        "first_name": "ERICK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-11",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "67363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100047656",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esheftic399722@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2901 International Ln Ste 100",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537043177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2901 International Ln Ste 100",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537043177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.