University of Wisconsin Hospitals and Clinics Authority
Organization Active NPI Durable Medical Equipment & Medical Supplies · Madison, WI
NPI 1720469869 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1720469869
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
- Practice address
- 4602 Eastpark Blvd RM 1800
Madison, WI 53718-2002 - Phone
- (608) 440-6671
- Fax
- (608) 263-9830
- NPI assigned
- Jun 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Alan Kaplan, MD
- Title
- Ceo
- Phone
- (608) 263-7013
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 16
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Uw Health Rehabilitation Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (40.6%) | Jul 18, 2013 |
| Uw Health Care Direct |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151007003384 | WI | DME Supplier - Pharmacy | 4880503648 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Madison, WI |
| O20160411000882 | WI | DME Supplier - Hospital |
4880503648 | Practice locations: Madison, WI |
National Provider Directory
Locations
4602 Eastpark Blvd
Rm 1800
Madison, WI 53718
Phone (608) 440-6671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WI | Yes | |
| Prosthetic/Orthotic Supplier | 335E00000X | WI |
Addresses
Primary practice location
4602 Eastpark Blvd RM 1800
Madison, WI 53718-2002
Mailing address
600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001
Phone (608) 662-0817
Other names
- UW Health East Madison Hospital DME
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Other providers in Madison, WI
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
- University of Wisconsin Hospitals and Clinics Authority
All providers in Madison, WI · Durable Medical Equipment & Medical Supplies in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.