Individual provider Active NPI

Eileen Therese Reilly, MD

  • Hospitalist Physician
  • Waupun, WI
National Provider Identifier
1700865573
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
71981-20 Issued in WI
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

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1700865573MedicaidWI

Electronic endpoints 6

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200214000494 WI Practitioner - HospitalistPractitioner - Family Practice 4587665484 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

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

LicenseStateTypeSpecialty
001222IAMDPsychologist
71981-20WIMDEmergency Medicine Physician
A198590CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Clinic, S.C. Family Medicine Current Accepting new patients
Aurora Medical Group, Inc. Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Agnesian Healthcare Inc Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Lakeshore Medical Clinic, LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Beloit Health System, Inc CurrentSince Mar 7, 2022 Accepting new patients
Fort Healthcare Inc Family Medicine Current Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 1, 2025 Accepting new patients
Beloit Health System Inc Family Medicine Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 1, 2022 Accepting new patients
Beloit Health System, Inc CurrentSince Mar 7, 2022 Accepting new patients
Aurora Advanced Healthcare, Inc. Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Nov 21, 2022 Accepting new patients
Fort Healthcare Inc Family Medicine CurrentSince May 1, 2021 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Nov 21, 2022 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.