Shane Burton Allen, M.D.
Individual provider Active NPI Emergency Medicine Physician · Madison, WI
NPI 1649478231 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1649478231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 54165-020 (WI)
- Practice address
- 700 S Park St
Mep
Madison, WI 53715-1830 - Phone
- (608) 258-6504
- NPI assigned
- Jul 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.19 of 100
- Quality
- 74.01
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100615000741 | WI | Practitioner - Emergency Medicine | 6204966427 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54165-020 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Emergency Physicians, SC | Emergency Medicine | Current |
Accepting new patients |
| Prairie Ridge Health Inc. | Current |
Accepting new patients | |
| Prairie Ridge Health, Inc. | Current |
Accepting new patients | |
| Upland Hills Health, Inc | Emergency Medicine | Current |
Accepting new patients |
| Reedsburg Area Medical Center, Inc. | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Reedsburg Area Medical Center Inc | Current |
Accepting new patients | |
| Upland Hills Health, Inc. | Current |
Accepting new patients |
Locations
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
Bin 88276
Milwaukee, WI 53288
1900 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6477
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
530 Wisconsin Dells Pkwy S
Wisconsin Dells, WI 53965
Phone (608) 253-8515
Interoperability endpoints
- sallen896071@direct.unitypoint.org
- sallen258330@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 54165-020 | WI | Yes |
Addresses
Primary practice location
700 S Park St
Mep
Madison, WI 53715-1830
Mailing address
6401 Offshore Dr
411
Madison, WI 53705-4387
Phone (414) 526-0729
Other providers in Madison, WI
- Eva Allen
- Hailey Allen
- Janelle W. Allen
- Kayla Allen
- Scott E Allen
- Bridget E Alley
- Allhours Transportation LC
- Alliance Adult Home Care LLC
- Alliance Healthcare Services Inc
- Alliance Home Care LLC
All providers in Madison, WI · Emergency Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.