Active NPI
Cameron Ktytor, DO
- Psychiatry Physician
- Madison, WI
National Provider Identifier
1912536780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 80121-21
- Practice address
- 2500 Overlook Ter
Madison, WI 53705-2254 - Phone
- (608) 280-7084
- NPI assigned
- Apr 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 80121-21 | WI | Primary |
Addresses
Primary practice location
2500 Overlook Ter
Madison, WI 53705-2254
Mailing address
2500 Overlook Ter
Madison, WI 53705-2254
Phone (608) 280-7084
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200709001354 | WI | Order and Referring Only - Psychiatry | 0345663332 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766275200000",
"number": "1912536780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 OVERLOOK TER",
"city": "MADISON",
"state": "WI",
"postal_code": "537052254",
"telephone_number": "608-280-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 OVERLOOK TER",
"city": "MADISON",
"state": "WI",
"postal_code": "537052254",
"telephone_number": "608-280-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KTYTOR",
"first_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2025-12-21",
"certification_date": "2025-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "80121-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.