Active NPI
Dennis E Litsheim, MD
- Diagnostic Radiology Physician
- Janesville, WI
National Provider Identifier
1659300705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25337-020
- Practice address
- 580 N Washington St
Janesville, WI 53548-2908 - Phone
- (608) 755-3589
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25337-020 | WI | Primary |
Addresses
Primary practice location
580 N Washington St
Janesville, WI 53548-2908
Mailing address
580 N Washington St
Janesville, WI 53548-2908
Phone (608) 755-3589
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4150 | Other | WI | DEAN HEALTH INSURANCE |
| 31568000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25337-020 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgerton Hospital and Health Services, Inc | Past | Accepting new patients | |
| Midwest Open MRI, LLC | Past | Accepting new patients | |
| Wisconsin Heart, S.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Whitewater, WI
- NPI 1982496295
-
- Clinic/Center
- Middleton, WI
- NPI 1790796936
-
- Cardiovascular Disease Physician
- Madison, WI
- NPI 1720051857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659300705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482908",
"telephone_number": "608-755-3589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482908",
"telephone_number": "608-755-3589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITSHEIM",
"first_name": "DENNIS",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "25337-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "4150",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31568000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.