Active NPI
Cenon M Buencamino, MD
- Diagnostic Radiology Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 40085
- Practice address
- 1313 Fish Hatchery Rd
Madison, WI 53715-1911 - Phone
- (608) 252-8000
- Fax
- (608) 283-7361
- NPI assigned
- Jan 18, 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 | 40085 | WI | Primary |
Addresses
Primary practice location
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Mailing address
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Phone (608) 252-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34491100 | Medicaid | WI | |
| 1699755579 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbuencamino261543@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
144 S 8TH St
Suite 108
Chambersburg, PA 17201-2752
Phone (717) 263-1383
Hospital & facility affiliations
- Wellspan Chambersburg Hospital
- Wellspan Waynesboro Hospital
- Gettysburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40085 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambersburg Imaging Associates P.C. | Current | Accepting new patients | |
| Beloit Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
Locations
144 S 8th St
Ste 108
Chambersburg, PA 17201
Phone (717) 262-2183
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Interoperability endpoints
- cbuencamino459667@wellspan.direct-ci.com
Organizations & group practices 2
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.
-
- Specialist
- Chambersburg, PA
- NPI 1225093446
-
- Diagnostic Radiology Physician
- Beloit, WI
- NPI 1386661734
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1699755579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151911",
"telephone_number": "608-252-8000",
"fax_number": "608-283-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151911",
"telephone_number": "608-252-8000",
"fax_number": "608-283-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENCAMINO",
"first_name": "CENON",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "40085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34491100",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699755579",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbuencamino261543@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cbuencamino261543@direct-ehr-ssmhc.com",
"address_1": "1313 Fish Hatchery Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151911",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1313 Fish Hatchery Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151911",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.