Individual provider Active NPI

Andrea Um, M.D.

  • Vascular Surgery Physician
  • Madison, WI
National Provider Identifier
1699200378
Registry record updated Aug 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
6935-851 Issued in WI
Practice address
Uw Hospitals and Clinics 600 Highland Ave
Madison, WI 53792-0001
Phone
(608) 263-6400
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 6935-851 WI Primary

Addresses

Primary practice location

Uw Hospitals and Clinics 600 Highland Ave
Madison, WI 53792-0001

Mailing address

1209 W Bittersweet LN
Sioux Falls, SD 57108-2854
Phone (605) 929-2599

Other names 1

  • Andrea Sherman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804000988 NE Practitioner - Vascular Surgery 0547534604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Cardiology Group LLCGroup PAC ID 7911803796, 78 clinicians

Practice addresses (Care Compare)

1301 E H St
Community Hospital
McCook, NE 68901-3482
Phone (308) 344-2650

1500 S 48TH St
400 Bryan Heart Vascular Surgery
Lincoln, NE 68506-1278
Phone (402) 481-8500

1600 S 48TH St
Lincoln, NE 68506-1275
Phone (402) 483-3333

1600 S 48TH St
Lincoln, NE 68506-1299

202 High St
Tecumseh, NE 68450-2443
Phone (402) 335-3361

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

2222 N Lincoln Ave
York General Hospital
York, NE 68467-1095
Phone (402) 362-6671

2802 28TH St
Central City, NE 68826-2707
Phone (308) 946-3015

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-5000

3563 Prairieview St
Suite 200
Grand Island, NE 68803-4442
Phone (402) 483-3333

4508 38TH St
Suite 107
Columbus, NE 68601-1678
Phone (402) 562-1533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.03 of 100Reported as group
Quality
63.42
Promoting interoperability
100
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
86.61 of 100Reported as group
Quality
87.74
Promoting interoperability
100
Improvement activities
40
Cost
67.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal19
Leg revascularization (restoring blood flow)22
Removal of tissue117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6935-851WIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Cardiology Group LLC Vascular Surgery CurrentSince Aug 1, 2022 Accepting new patients
Avera St Anthonys Hospital Current Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

3563 Prairieview St
Ste 220
Grand Island, NE 68803
Phone (402) 257-7004

715 N Kansas Ave
Ste 100
Hastings, NE 68901
Phone (402) 460-5555

1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327

1500 S 48th St
Ste 400
Lincoln, NE 68506
Phone (402) 481-8500

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

Interoperability endpoints

  • Direct secure messaging: aum151768@hisp.bryanhealth.org

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, 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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503705600000",
    "number": "1699200378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W BITTERSWEET LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082854",
            "telephone_number": "605-929-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UW HOSPITALS AND CLINICS 600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UM",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "6935-851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SHERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.