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University of Wisconsin Medical Foundation Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Madison, WI

NPI 1720044589 · NPPES record last updated Jun 27, 2023

Key facts

NPI
1720044589
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Practice address
5618 Odana Rd
Madison, WI 53719-1294
Phone
(608) 274-1100
Fax
(608) 274-0310
NPI assigned
Apr 21, 2006
Organization subpart
No

Authorized official

Name
Robert Flannery
Title
Cao & Cfo
Phone
(608) 821-4223

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 20

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

Corporate family (same tax ID) 25

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

Practitioners 2,537

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,537

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0393798Uw Health-Odana Atrium Family Medicine
5618 Odana Rd, Madison, WI 53719		ComplianceFeb 23, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Uw Health Care Direct
Middleton, WI · CCN 527220		 Home health agency 5% Or Greater Indirect Ownership Interest (50%) Jul 1, 2019

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930066050 WI DME Supplier - Physician - Unknown Physician Specialty 6608785464 Practice locations: Madison, WI

National Provider Directory

Tax ID family
Univ of Wisconsin Medical (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

5618 Odana Rd
Madison, WI 53719-1294

Mailing address

7974 Uw Health Court
Middleton, WI 53562-5531
Phone (608) 829-5270

Other identifiers

IdentifierTypeStateIssuer
41722900MedicaidWI

Other names

  • Odana Road Clinic Other name
  • UW Health Odana Atrium Other name
  • UWMF Odana Atrium Other name

Other providers in Madison, WI

All providers in Madison, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.