NPIMap

Organization Active NPI

Select Specialty Hospital - Madison Inc

  • Long Term Care Hospital
  • Madison, WI
National Provider Identifier
1679521868
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
SELECT SPECIALTY HOSPITAL - MADISON INC
Practice address
801 Braxton Place
Madison, WI 43701
Phone
(608) 256-9353
Fax
(608) 256-9404
NPI assigned
May 4, 2006
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

801 Braxton Place
Madison, WI 43701

Mailing address

4714 Gettysburg Rd
Legal Dept.
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060925000207 WI Part A Provider - Hospital 4486659505 Practice locations: Madison, WI
O20110113001123 WI Part B Supplier - Clinic/Group Practice 4486659505 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Madison, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679521868. Details of each certification follow.

Hospital certification: CCN 522008

Legal name
SELECT SPECIALTY HOSPITAL - MADISON INC
Doing business as
SELECT SPECIALTY HOSPITAL - MADISON
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jun 1, 2007
Last certification
Dec 4, 2014
Beds
23
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Feb 26, 2003 in DE
Enrollment address
801 Braxton PL
Madison, WI 53715-1415
Other Hospital Practice Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital MadisonCCN 522008 · All quality measures
Ownership
For profit
Certified
Jun 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Beds
23

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jul 26, 2006 100%
Operational/Managerial Control Jul 26, 2006 100%
Thomas Mullin Individual Corporate Officer Sep 4, 2025
John Saich Individual Corporate Officer Sep 4, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 4, 2025
Sempercare, Inc. Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jul 26, 2006 100%
Michael Malatesta Individual Corporate Officer Sep 4, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Jul 26, 2006
Corporate Director Sep 4, 2025
Marc Trznadel Individual Corporate OfficerCeo Jan 8, 2024
W-2 Managing EmployeeCeo Jan 8, 2024
Operational/Managerial ControlCeo Jan 8, 2024

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1679521868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BRAXTON PLACE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "43701",
            "telephone_number": "608-256-9353",
            "fax_number": "608-256-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - MADISON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.