David A Misorski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33533 Issued in WI

Practice address

400 Doctors CT
Johnson Creek, WI 53038-9567

Phone

(920) 699-4000

Fax

(920) 699-5355

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Medical College of Wisconsin, 1991

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)

Hospital & facility affiliations

• Commonheart Home Health Home health agency, Waukesha, WI, CCN 527151
• Agrace Hospicecare Hospice, Madison, WI, CCN 521505
• Rainbow Hospice Care Hospice, Jefferson, WI, CCN 521555
• Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
• University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
• Direct secure messaging: david.misorski@direct.forthc.com

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.

• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Fort Healthcare Inc

  • Rural Health Clinic/Center
  • Fort Atkinson, WI
  • NPI 1417450115

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
  • NPI 1861503534
  Care Compare affiliation
• Commonheart, Inc.

  dba CommonHeart Home Health

  • Home Health Agency
  • Waukesha, WI
  • NPI 1629071121
  Care Compare affiliation
• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Hospital

  Care Compare affiliation
• Fort Healthcare, Inc.

  • General Acute Care Hospital
  • Fort Atkinson, WI
  • NPI 1811916281
  Care Compare affiliation
• Rainbow Hospice Care, Inc.

  dba Rainbow Community Care

  • Community Based Hospice Care Agency
  • Jefferson, WI
  • NPI 1538134499
  Care Compare affiliation
• University of Wisconsin Hospitals and Clinics Authority

  dba University of Wisconsin Hospital and Clinics

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1922043744
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780791285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOCTORS CT",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389567",
            "telephone_number": "920-699-4000",
            "fax_number": "920-699-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOCTORS CT",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389567",
            "telephone_number": "920-699-4000",
            "fax_number": "920-699-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISORSKI",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "33533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31874800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (Oakley B834)
• Thomas M McGorey, MD
• Jonathon J Melk, D.D.S.
• James Milford, MD
• Anna Miller, MS, CCC-SLP
• Orthopaedic Associates of Wisconsin SC
• Precision Chiropractic, LLC
• Rainbow Hospice Care, Inc. (Rainbow Palliative Care)
• Rescare Residentail Services Wisconsin, LLC
• Rock River Community Clinic, Inc

• Family Medicine Physician in Johnson Creek, WI
• Providers in Johnson Creek, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.