NPIMap

Individual provider Active NPI

Ken Noguchi, MD, PHD

  • Family Medicine Physician
  • Madison, WI
National Provider Identifier
1871156737
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
84946 Issued in WI
Practice address
3209 Dryden Dr
Madison, WI 53704-3015
Phone
(608) 241-9020
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13609 SD
Family Medicine Physician 207Q00000X 84946 WI Primary

Addresses

Primary practice location

3209 Dryden Dr
Madison, WI 53704-3015

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

745 E 8th St
Winner, SD 57580-2677
Phone (605) 842-3537

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knoguchi7964819@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220818002635 SD Practitioner - Family Practice 2961884952 Reassigns benefits to 3 organizations
I20250203001360 WI Practitioner - Family Practice 2961884952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3209 Dryden Dr
Madison, WI 53704-3015
Phone (608) 287-2770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.75 of 100Reported as group
Quality
90.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84946WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winner Regional Healthcare Center Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 1, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 1, 2025 Accepting new patients
Horizon Health Care, Inc CurrentSince Oct 1, 2022 Accepting new patients
Winner Regional Healthcare Center Family Medicine CurrentSince Jul 14, 2022 Accepting new patients
Winner Regional Healthcare Center CurrentSince Jul 14, 2022 Accepting new patients
Horizon Health Care Inc CurrentSince Oct 1, 2022 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients
Horizon Health Care, Inc Past Accepting new patients

Locations

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

301 4TH St
Mellette Cnty Comm
White River, SD 57579
Phone (605) 259-3121

745 E 8th St
Winner, SD 57580
Phone (605) 842-2626

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

3209 Dryden Dr
Madison, WI 53704
Phone (608) 241-9020

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

Interoperability endpoints

  • Direct secure messaging: knoguchi7964819@direct.uwhealth.org

Organizations & group practices 10

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 5

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1871156737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 DRYDEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043015",
            "telephone_number": "608-241-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Winner",
            "state": "SD",
            "postal_code": "575802677",
            "country_code": "US",
            "telephone_number": "605-842-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOGUCHI",
        "first_name": "KEN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "13609",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "84946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knoguchi7964819@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "3209 Dryden Dr",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537043015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.