Arthur Mark Altbuch, M.D.
Individual provider Active NPI Geriatric Medicine (Family Medicine) Physician · Janesville, WI
NPI 1821021429 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1821021429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- License
- 30493 (FL)
- Practice address
- 849 Kellogg Ave
Janesville, WI 53546-2808 - Phone
- (608) 755-7960
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Geriatric Medicine
- Education
- Albany Medical College of Union University, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6508
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Hospital & facility affiliations
- Mercy Health System Corp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040903001225 | WI | Practitioner - Geriatric Medicine |
4789650375 | Reassigns benefits to 1 organization |
| I20200416002794 | FL | Practitioner - Family Practice | 4789650375 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30493 | FL | MD | Geriatric Medicine (Family Medicine) Physician |
| 41950 | WI | MD | Geriatric Medicine (Family Medicine) Physician |
| 30494 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Family Medicine | Current |
Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Baptist Primary Care Inc | Family Medicine | Current |
Accepting new patients |
| Mercy Health System Corporation | Current |
Accepting new patients |
Locations
45465 Fifth Ave
Callahan, FL 32011
Phone (904) 879-4544
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
1660 Prudential Dr
Ste 400
Jacksonville, FL 32207
Phone (904) 396-0000
500 W Il Route 22
Barrington, IL 60010
Phone (847) 381-3000
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
3524 E Milwaukee St
Janesville, WI 53546
Phone (608) 756-7100
849 Kellogg Ave
Janesville, WI 53546
Phone (608) 755-7960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41950 | WI | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 41950 | WI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 41950 | WI | |
| Family Medicine Physician | 207Q00000X | 30494 | FL | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 30493 | FL | Yes |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 30494 | FL |
Addresses
Primary practice location
849 Kellogg Ave
Janesville, WI 53546-2808
Mailing address
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32631600 | Medicaid | WI |
Other providers in Janesville, WI
- Caroline Thadda Allen
- Kendra Lee Allen
- Rachel Diane Allen
- Omar Alnaser
- Giuseppe A Altamore
- Amanda Deremo
- Jenny Rebecca Amani
- Melissa R Amertil
- Ams of Wisconsin-Janesville, LLC
- Rebecca Amstutz
All providers in Janesville, WI · Geriatric Medicine (Family Medicine) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.