Active NPI
Michael Ostrov, MD
- Family Medicine Physician
- Madison, WI
National Provider Identifier
1831156546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22733-20
- Practice address
- 5395 E. Cheryl Parkway
Madison, WI 53711 - Phone
- (608) 276-4660
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22733-20 | WI | Primary |
Addresses
Primary practice location
5395 E. Cheryl Parkway
Madison, WI 53711
Mailing address
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone (608) 276-4660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30374400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1831156546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5395 E CHERYL PKWY",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115395",
"telephone_number": "608-276-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5395 E. CHERYL PARKWAY",
"city": "MADISON",
"state": "WI",
"postal_code": "53711",
"telephone_number": "608-276-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTROV",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "22733-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30374400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.