Individual provider Active NPI

Dorota Walkiewicz Jedrzejczak, MD

  • Pediatric Gastroenterology Physician
  • Madison, WI
National Provider Identifier
1720011984
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
40919 Issued in WI
Practice address
149 Dayton Row
Madison, WI 53703-4604
Phone
(608) 320-3430
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 40919 WI Primary

Addresses

Primary practice location

149 Dayton Row
Madison, WI 53703-4604

Mailing address

149 Dayton Row
Madison, WI 53703-4604

Other names 1

  • Dorota Walkiewicz-Jedrzejczak Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwalkiewiczjedrzejczak20377@direct.uwhealth.org

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
I20060726000245 WI Practitioner - GastroenterologyPractitioner - Pediatric Medicine 9234142886 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince May 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 1, 2010 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince May 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince May 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 1, 2010 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince May 1, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

1821 S Webster Ave
Green Bay, WI 54301
Phone (920) 431-1850

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: dwalkiewicz279997@direct.unitypoint.org
  • Direct secure messaging: dwalkiewiczjedrzejczak20377@direct.uwhealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1720011984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DAYTON ROW",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DAYTON ROW",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034604",
            "telephone_number": "608-320-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDRZEJCZAK",
        "first_name": "DOROTA",
        "middle_name": "WALKIEWICZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "WI",
            "license": "40919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwalkiewiczjedrzejczak20377@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1675 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DOROTA",
            "last_name": "WALKIEWICZ-JEDRZEJCZAK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.