Active NPI
Kameron McKenzie Haake, MD
- Emergency Medicine Physician
- Madison, WI
National Provider Identifier
1871346601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 86859
- Practice address
- 1102 S Park St
Madison, WI 53715-1708 - Phone
- (608) 263-3111
- Fax
- (608) 263-6663
- NPI assigned
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 86859 | WI | Primary |
Addresses
Primary practice location
1102 S Park St
Madison, WI 53715-1708
Mailing address
1100 Delaplaine CT
Madison, WI 53715-1840
Phone (608) 263-4550
Other practice location 1
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871346601 | Medicaid | WI |
Other names 1
- Kam Haake
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | Dean Health Systems, Inc |
| Direct Messaging Address | khaake513313@direct-ehr-ssmhc.com | Direct | Dean Health Systems, Inc |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86859 | WI | MD | Emergency Medicine Physician |
Interoperability endpoints
- khaake513313@direct-ehr-ssmhc.com
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1871346601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 DELAPLAINE CT",
"city": "MADISON",
"state": "WI",
"postal_code": "537151840",
"telephone_number": "608-263-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151708",
"telephone_number": "608-263-3111",
"fax_number": "608-263-6663"
}
],
"practiceLocations": [
{
"address_1": "1821 S Stoughton Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537162257",
"country_code": "US",
"telephone_number": "608-260-6000",
"fax_number": "608-260-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAKE",
"first_name": "KAMERON",
"middle_name": "MCKENZIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-10",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "86859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871346601",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Dean Health Systems, Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khaake513313@direct-ehr-ssmhc.com",
"affiliation": "Y",
"affiliationName": "Dean Health Systems, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KAM",
"last_name": "HAAKE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}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 May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.