Individual provider Active NPI

Conrad David Pun, M.D.

  • Vascular & Interventional Radiology Physician
  • Madison, WI
National Provider Identifier
1720297112
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
51568 Issued in WI
Practice address
202 S Park St
Meriter Hospital - Medical Imaging
Madison, WI 53715-1507
Phone
(608) 417-6090
Fax
(608) 417-6281
NPI assigned
May 22, 2007
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 51568 WI
Vascular & Interventional Radiology Physician 2085R0204X 51568 WI Primary

Addresses

Primary practice location

202 S Park St
Meriter Hospital - Medical Imaging
Madison, WI 53715-1507

Mailing address

202 S Park St
Meriter Hospital - Medical Imaging
Madison, WI 53715-1507
Phone (608) 417-6090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpun16087@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
I20080609000064 WI Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0840360459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-7355

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

202 S Park St
Madison, WI 53715-1507
Phone (608) 287-2050

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

4621 Eastpark Blvd
Madison, WI 53718-2000
Phone (608) 914-0100

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

611 E Sherman Ave
Fort Atkinson, WI 53538-1960
Phone (888) 703-2778

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-1000

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51568WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Fort Healthcare Inc CurrentSince Oct 20, 2012 Accepting new patients
Fort Healthcare Inc CurrentSince Oct 20, 2012 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 2, 2008 Accepting new patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 2, 2008 Accepting new patients
Richland Hospital CurrentSince Dec 19, 2012 Accepting new patients

Locations

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

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

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

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • Direct secure messaging: cpun16087@direct.uwhealth.org
  • Direct secure messaging: cpun264306@direct.unitypoint.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1720297112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "address_2": "MERITER HOSPITAL - MEDICAL IMAGING",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "address_2": "MERITER HOSPITAL - MEDICAL IMAGING",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6090",
            "fax_number": "608-417-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUN",
        "first_name": "CONRAD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "51568",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "51568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpun16087@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.