Individual provider Active NPI

Stephan M Deutsch, MD PHD

  • Physical Medicine & Rehabilitation Physician
  • Madison, WI
National Provider Identifier
1700840337
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
40507-20 Issued in WI
Practice address
830 Ottawa TRL
Madison, WI 53711-2941
Phone
(608) 238-5545
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 40507-20 WI Primary

Addresses

Primary practice location

830 Ottawa TRL
Madison, WI 53711-2941

Mailing address

830 Ottawa TRL
Madison, WI 53711-2941

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdeutsch7218@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40507-20WIMDPhysical Medicine & Rehabilitation Physician

Interoperability endpoints

  • Direct secure messaging: sdeutsch7218@direct.uwhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1700840337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 OTTAWA TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OTTAWA TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112941",
            "telephone_number": "608-238-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "STEPHAN",
        "middle_name": "M",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "40507-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdeutsch7218@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "6630 University Ave",
            "city": "Middleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535623036",
            "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 Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.