NPIMap

Organization Active NPI

University of Wisconsin Hospitals and Clinics Authority

  • Prosthetic/Orthotic Supplier
  • Middleton, WI
National Provider Identifier
1710216205
Registry record updated Sep 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Practice address
6220 University Ave
Suite 103
Middleton, WI 53562-3481
Phone
(608) 263-0583
Fax
(608) 262-8539
NPI assigned
Dec 14, 2009
Organization subpart
Yes
Parent organization
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2022

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

Authorized official

Name
Mr. Alan Kaplan, MD
Title
Ceo
Phone
(608) 263-7013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WI
Prosthetic/Orthotic Supplier 335E00000X WI Primary

Addresses

Primary practice location

6220 University Ave
Suite 103
Middleton, WI 53562-3481

Mailing address

600 Highland Ave
Compliance MC 2433
Madison, WI 53792-1539
Phone (608) 662-0817

Other names 1

  • Orthotics and Prosthetics Clinic Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131226001013 WI DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 4880503648 Practice locations: Middleton, WI

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
University of Wisconsin Hospitals a6220 University Ave, Middleton, WI 53562-3481(608) 263-0583 Neuromuscular Elect Stimulators (NMES)/Supplies|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Neurostimulators and/or Supplies|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
St Lab of Hygiene32 organizations share this tax ID, including this one
Part of
St Lab of Hygiene

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uw Health Rehabilitation HospitalMadison, WI, CCN 523028 Hospital 5% Or Greater Direct Ownership Interest (40.6%) Jul 18, 2013
Uw Health Care DirectMiddleton, WI, CCN 527220 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663977600000",
    "number": "1710216205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "COMPLIANCE MC 2433",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537921539",
            "telephone_number": "608-662-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 UNIVERSITY AVE",
            "address_2": "SUITE 103",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623481",
            "telephone_number": "608-263-0583",
            "fax_number": "608-262-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY",
        "enumeration_date": "2009-12-14",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-263-7013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.668.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Orthotics and Prosthetics Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.