Individual provider Active NPI

Jill M Masana, M.D.

  • Obstetrics & Gynecology Physician
  • Madison, WI
National Provider Identifier
1700174091
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
60542-20 Issued in WI
Practice address
4410 Regent St
Madison, WI 53705-4901
Phone
(608) 233-9746
Fax
(608) 236-1981
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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
Obstetrics & Gynecology Physician 207V00000X 60542-20 WI Primary

Addresses

Primary practice location

4410 Regent St
Madison, WI 53705-4901

Mailing address

4410 Regent St
Madison, WI 53705-4901
Phone (608) 233-9746

Other identifiers 1

IdentifierTypeStateIssuer
1700174091MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150813009339 WI Practitioner - Obstetrics/Gynecology 5698908796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Physicians, LLPGroup PAC ID 7719953306, 25 clinicians

Practice addresses (Care Compare)

4410 Regent St
Madison, WI 53705-4901
Phone (608) 233-9746

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.14 of 100Reported as group
Quality
82.79
Promoting interoperability
90
Improvement activities
40
Cost
79.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60542-20WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Associated Physicians, LLP CurrentSince Aug 31, 2015 Accepting new patients

Locations

4410 Regent St
Madison, WI 53705
Phone (608) 233-9746

Interoperability endpoints

  • Direct secure messaging: jmasana268571@direct.unitypoint.org

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.

Hospital & facility affiliations 3

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": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1700174091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 REGENT ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054901",
            "telephone_number": "608-233-9746",
            "fax_number": "608-236-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 REGENT ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054901",
            "telephone_number": "608-233-9746",
            "fax_number": "608-236-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASANA",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "60542-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700174091",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.