Individual provider Active NPI

Vincent J Minichiello, MD

  • Family Medicine Physician
  • Monona, WI
National Provider Identifier
1922442003
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63222 Issued in WI
Practice address
1050 E Broadway
Monona, WI 53716-4023
Phone
(608) 287-5899
Fax
(608) 251-2332
NPI assigned
Apr 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63222 WI Primary

Addresses

Primary practice location

1050 E Broadway
Monona, WI 53716-4023

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

1102 S Park St Ste 100
Madison, WI 53715-1708
Phone (608) 263-3111

Other identifiers 1

IdentifierTypeStateIssuer
63222OtherWILICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vminichiello675138@direct.uwhealth.org

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
I20150618002221 WI Practitioner - Family Practice 3274844170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1102 S Park St
Madison, WI 53715-1708
Phone (608) 263-3111

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

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63222WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Centers, Inc. CurrentSince Jul 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2016 Accepting new patients
Access Community Health Centers, Inc. CurrentSince Jul 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

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

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

1102 S Park St
Ste 100
Madison, WI 53715
Phone (608) 263-3111

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

621 Science Dr
Madison, WI 53711
Phone (608) 263-8850

1102 S Park St
Madison, WI 53715
Phone (608) 263-3111

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

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

1050 E Broadway
Monona, WI 53716
Phone (608) 222-8779

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

100 N Nine Mound Rd
Verona, WI 53593
Phone (608) 845-9531

Organizations & group practices 6

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 8

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": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1922442003",
    "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": "1050 E BROADWAY",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537164023",
            "telephone_number": "608-287-5899",
            "fax_number": "608-251-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 S Park St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151708",
            "country_code": "US",
            "telephone_number": "608-263-3111",
            "fax_number": "608-263-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINICHIELLO",
        "first_name": "VINCENT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "63222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "63222",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vminichiello675138@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1102 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.