NPIMap

Individual provider Active NPI

Daniel W. Kattenbraker, M.D.

  • Family Medicine Physician
  • Mauston, WI
National Provider Identifier
1841287323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42561 Issued in WI
Practice address
1040 Division St
Mauston, WI 53948-1931
Phone
(608) 847-5000
NPI assigned
Sep 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42561 WI Primary

Addresses

Primary practice location

1040 Division St
Mauston, WI 53948-1931

Mailing address

1040 Division St
Mauston, WI 53948-1931

Other identifiers 1

IdentifierTypeStateIssuer
34272900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000410 WI Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Sleep Medicine 0345267944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians

Practice addresses (Care Compare)

1040 Division St
Mauston, WI 53948-1931
Phone (608) 847-1852

1050 Division St
Mauston, WI 53948-1931

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mile Bluff Medical Center Inc Current Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients

Locations

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

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

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Interoperability endpoints

  • Direct secure messaging: daniel.kattenbraker@direct.milebluff.com

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mile Bluff Medical Center IncMauston, WI, CCN 520109 Hospital Corporate Director Feb 1, 2004
Fair View Nursing HomeMauston, WI, CCN 525437 Skilled nursing facility Corporate Director Feb 1, 2010
Crest View Nursing HomeNew Lisbon, WI, CCN 525581 Skilled nursing facility Corporate Director Feb 1, 2010
Necedah Family Medical CenterNecedah, WI, CCN 523990 Rural health clinic Corporate Director
W-2 Managing Employee		 Feb 1, 2010
Jan 1, 2013
Mile Bluff ClinicMauston, WI, CCN 528549 Rural health clinic Corporate Director Feb 1, 2010
New Lisbon Family Medical CenterNew Lisbon, WI, CCN 528550 Rural health clinic Corporate Director Feb 1, 2010
Delton Family Medical CenterWisconsin Dells, WI, CCN 528653 Rural health clinic Corporate Director Feb 1, 2004

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841287323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTENBRAKER",
        "first_name": "DANIEL",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34272900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.