NPIMap

Individual provider Active NPI

Michael Joseph Accavitti Jr., M.D.

  • Cardiovascular Disease Physician
  • Madison, WI
National Provider Identifier
1679952642
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
74813 Issued in WI
Practice address
2601 W Beltline Hwy Ste 200
Madison, WI 53713-2319
Phone
(608) 287-2434
Fax
(608) 287-2182
NPI assigned
May 24, 2015
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 74813 WI Primary

Addresses

Primary practice location

2601 W Beltline Hwy Ste 200
Madison, WI 53713-2319

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610003033 WI Practitioner - Cardiovascular Disease (Cardiology) 4082905955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tulane University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 Clay St
Darlington, WI 53530-1228
Phone (608) 776-4466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74813WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Fort Healthcare Inc CurrentSince Oct 15, 2021 Accepting new patients
Fort Healthcare Inc CurrentSince Oct 15, 2021 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jan 5, 2022 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 29, 2021 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 29, 2021 Accepting new patients
Mile Bluff Medical Center Inc Current Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jan 5, 2022 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

2601 W Beltline Hwy
Ste 200
Madison, WI 53713
Phone (608) 287-2434

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

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

406 Gateway Ave
Mauston, WI 53948
Phone (608) 350-0962

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

251 2nd St
Reedsburg, WI 53959
Phone (608) 524-4334

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: maccavitti821766@direct.unitypoint.org

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1679952642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W BELTLINE HWY STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132319",
            "telephone_number": "608-287-2434",
            "fax_number": "608-287-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCAVITTI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "74813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.