Individual provider Active NPI

Kenneth V Ostermann, M.D.

  • Obstetrics & Gynecology Physician
  • Beaver Dam, WI
National Provider Identifier
1851386213
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36431 Issued in WI
Practice address
705 S University Ave
Suite 300
Beaver Dam, WI 53916-3053
Phone
(920) 885-6090
Fax
(920) 885-6092
NPI assigned
Sep 13, 2005
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36431 WI Primary

Addresses

Primary practice location

705 S University Ave
Suite 300
Beaver Dam, WI 53916-3053

Mailing address

705 S University Ave
Suite 300
Beaver Dam, WI 53916-3053
Phone (920) 885-6090

Other identifiers 1

IdentifierTypeStateIssuer
32121200MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000548 WI Practitioner - Obstetrics/Gynecology 9830153618 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahnemann University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Ridge Health IncGroup PAC ID 6800791484, 70 clinicians

Practice addresses (Care Compare)

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
56.02
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36431WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 7, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 7, 2022 Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 7, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 1, 2021 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 7, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 7, 2022 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Jun 1, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 7, 2022 Accepting new patients
Prairie Ridge Health, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 7, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 1, 2021 Accepting new patients
Prairie Ridge Health, Inc. Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

705 S University Ave
Ste 300
Beaver Dam, WI 53916
Phone (920) 885-6090

707 S University Ave
Ste 400
Beaver Dam, WI 53916
Phone (414) 885-6090

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/
  • Direct secure messaging: kenneth.ostermann@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1851386213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S UNIVERSITY AVE",
            "address_2": "SUITE 300",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163053",
            "telephone_number": "920-885-6090",
            "fax_number": "920-885-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S UNIVERSITY AVE",
            "address_2": "SUITE 300",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163053",
            "telephone_number": "920-885-6090",
            "fax_number": "920-885-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERMANN",
        "first_name": "KENNETH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "36431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32121200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.