Active NPI
Eileen Therese Reilly, MD
- Hospitalist Physician
- Waupun, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 71981-20
- Practice address
- 620 W Brown St
Waupun, WI 53963-1702 - Phone
- (920) 324-5581
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 71981-20 | WI | |
| Hospitalist Physician | 208M00000X | A198590 | CA | |
| Hospitalist Physician | 208M00000X | 71981-20 | WI | Primary |
Addresses
Primary practice location
620 W Brown St
Waupun, WI 53963-1702
Mailing address
Attn: SSM Health Fond Du Lac Regional Clinic
1808 W Beltline Hwy
Madison, WI 53713-2334
Phone (920) 926-8343
Other practice location 1
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
Other practice location 2
845 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101
Other practice location 3
515 22nd Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700865573 | Medicaid | WI |
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | ereilly262739@direct-ehr-ssmhc.com | Direct | |
| Direct Messaging Address | ereilly262739@direct-ehr-ssmhc.com | Direct | AGNESIAN HEALTHCARE INC |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | AGNESIAN HEALTHCARE INC |
| Direct Messaging Address | ereilly262739@direct-ehr-ssmhc.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200
2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
620 W Brown St
Waupun, WI 53963-1702
Phone (920) 926-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001222 | IA | MD | Psychologist |
| 71981-20 | WI | MD | Emergency Medicine Physician |
| A198590 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Clinic, S.C. | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Agnesian Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Beloit Health System, Inc | Current | Accepting new patients | |
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Beloit Health System Inc | Family Medicine | Current | Accepting new patients |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Stoughton Hospital Association | Past | Accepting new patients |
Locations
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
1650 Lee Ln
Beloit, WI 53511
Phone (608) 364-4666
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
700 S Park St
Madison, WI 53715
Phone (608) 260-2900
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
845 Parkside St
Ripon, WI 54971
Phone (920) 748-3101
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- ereilly830506@direct.unitypoint.org
Organizations & group practices 19
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.
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
dba BHS Clinics
- General Practice Physician
- Beloit, WI
- NPI 1679616361
Family Medicine
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
-
dba SSM Health Monroe Clinic Medical Group
- Specialist
- Monroe, WI
- NPI 1386720548
-
dba SSM Health Fond Du Lac Regional Clinic
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
dba Beloit Memorial Hospital
- General Acute Care Hospital
- Beloit, WI
- NPI 1982780094
-
dba SSM Health Ripon Community Hospital
- Critical Access Hospital
- Ripon, WI
- NPI 1053362624
-
dba SSM Health St. Mary's Hospital - Janesville
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
-
dba SSM Health Waupun Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Waupun, WI
- NPI 1528046737
-
dba SSM Health Waupun Memorial Hospital
- Critical Access Hospital
- Waupun, WI
- NPI 1548248644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1700865573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ATTN: SSM HEALTH FOND DU LAC REGIONAL CLINIC",
"address_2": "1808 W BELTLINE HWY",
"city": "MADISON",
"state": "WI",
"postal_code": "537132334",
"telephone_number": "920-926-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W BROWN ST",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539631702",
"telephone_number": "920-324-5581"
}
],
"practiceLocations": [
{
"address_1": "3200 E Racine St",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535462343",
"country_code": "US",
"telephone_number": "608-371-8000",
"fax_number": "608-371-8945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "845 Parkside St",
"address_purpose": "LOCATION",
"city": "Ripon",
"state": "WI",
"postal_code": "549718505",
"country_code": "US",
"telephone_number": "920-748-3101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 22nd Ave",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "WI",
"postal_code": "535661569",
"country_code": "US",
"telephone_number": "608-324-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLY",
"first_name": "EILEEN",
"middle_name": "THERESE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "71981-20",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A198590",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "71981-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700865573",
"state": "WI"
}
],
"endpoints": [
{
"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": "3200 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462343",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ereilly262739@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ereilly262739@direct-ehr-ssmhc.com",
"address_1": "3200 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462343",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ereilly262739@direct-ehr-ssmhc.com",
"affiliation": "Y",
"affiliationName": "AGNESIAN HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ereilly262739@direct-ehr-ssmhc.com",
"address_1": "620 W Brown St",
"city": "Waupun",
"state": "WI",
"country_code": "US",
"postal_code": "539631702",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "AGNESIAN HEALTHCARE INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "620 W Brown St",
"city": "Waupun",
"state": "WI",
"country_code": "US",
"postal_code": "539631702",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ereilly262739@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ereilly262739@direct-ehr-ssmhc.com",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waupun, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.