Individual provider Active NPI

Samuel Warn, MD

  • Child & Adolescent Psychiatry Physician
  • Madison, WI
National Provider Identifier
1639731177
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
84162-20 Issued in WI
Practice address
6001 Research Park Blvd
Madison, WI 53719-1176
Phone
(608) 232-3171
NPI assigned
Jul 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 65609 TN
Child & Adolescent Psychiatry Physician 2084P0804X 84162-20 WI Primary
Psychiatry Physician 2084P0800X 8526 NE

Addresses

Primary practice location

6001 Research Park Blvd
Madison, WI 53719-1176

Mailing address

6001 Research Park Blvd
Madison, WI 53719-1176
Phone (608) 232-3171

Other practice location 1

1601 23rd Ave S
Nashville, TN 37212-3133
Phone (615) 936-2488

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swarn4939463@direct.uwhealth.org

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
I20240723000691 WI Practitioner - Psychiatry 2264761253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oregon Health Sciences University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6001 Research Park Blvd
Madison, WI 53719-1176
Phone (608) 232-3171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65609TNMDChild & Adolescent Psychiatry Physician
84162-20WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171

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

Organizations & group practices 2

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": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1639731177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 RESEARCH PARK BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191176",
            "telephone_number": "608-232-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 RESEARCH PARK BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191176",
            "telephone_number": "608-232-3171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123133",
            "country_code": "US",
            "telephone_number": "615-936-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARN",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-04",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "65609",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "84162-20",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "8526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swarn4939463@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "6001 Research Park Blvd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537191176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.