Individual provider Active NPI

Carey Dachik, PA-C

  • Medical Physician Assistant
  • Madison, WI
National Provider Identifier
1841586500
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2840-023 Issued in WI
Practice address
3434 E Washington Ave
Madison, WI 53704-4155
Phone
(608) 443-5500
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002201 IA
Medical Physician Assistant 363AM0700X 2840-023 WI Primary

Addresses

Primary practice location

3434 E Washington Ave
Madison, WI 53704-4155

Mailing address

3434 E Washington Ave
Madison, WI 53704-4155
Phone (608) 443-5500

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000332 WI Practitioner - Physician Assistant 1658528625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2202 S Park St
Madison, WI 53713-1916
Phone (608) 443-5480

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

3434 E Washington Ave
Madison, WI 53704-4155
Phone (608) 443-5480

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2840WIMDPhysical Therapy Assistant
002201IAMDMedical Physician Assistant
2840-023WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 3, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 3, 2017 Accepting new patients
Access Community Health Centers, Inc. CurrentSince Aug 1, 2012 Accepting new patients

Locations

3434 E Washington Ave
Madison, WI 53704
Phone (608) 443-5480

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

2901 W Beltline Hwy
Ste 120
Madison, WI 53713
Phone (608) 443-5500

2202 S Park St
Madison, WI 53713
Phone (608) 443-5480

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1841586500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044155",
            "telephone_number": "608-443-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044155",
            "telephone_number": "608-443-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACHIK",
        "first_name": "CAREY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002201",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2840-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.