NPIMap

Organization Active NPI

University Podiatry Associates, LLP

  • Podiatrist
  • Madison, WI
National Provider Identifier
1689628802
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
UNIVERSITY PODIATRY ASSOCIATES, LLP
Practice address
450 S Yellowstone Dr
Madison, WI 53719-1068
Phone
(608) 831-8086
Fax
(608) 442-0126
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Jill Migon, D.P.M.NPI 1053381566
Title
Owner
Phone
(608) 831-8086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

450 S Yellowstone Dr
Madison, WI 53719-1068

Mailing address

450 S Yellowstone Dr
Madison, WI 53719-1068
Phone (608) 831-8086

Other identifiers 1

IdentifierTypeStateIssuer
43265000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110429000618 WI DME Supplier - Physician - Podiatry 6507050648 Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

450 S Yellowstone Dr
Madison, WI 53719
Phone (608) 831-8086

6255 University Ave
Ste 204
Middleton, WI 53562
Phone (608) 819-8544

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14801/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1689628802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S YELLOWSTONE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191068",
            "telephone_number": "608-831-8086",
            "fax_number": "608-442-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S YELLOWSTONE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191068",
            "telephone_number": "608-831-8086",
            "fax_number": "608-442-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PODIATRY ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "MIGON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-831-8086",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43265000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.