Active NPI
Vincent J Minichiello, MD
- Family Medicine Physician
- Monona, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 63222
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63222 | Other | WI | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Uw Health Care Direct
- Agrace Hospicecare
- University of Wi Hospitals & Clinics Authority
- Unitypoint Health - Meriter
- Stoughton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 63222 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Centers, Inc. | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Access Community Health Centers, Inc. | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Madison, WI
- NPI 1417055617
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Federally Qualified Health Center (FQHC)
- Madison, WI
- NPI 1669654307
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Durable Medical Equipment & Medical Supplies
- Cross Plains, WI
- NPI 1174583363
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fitchburg, WI
- NPI 1861503534
-
- Home Health Agency
- Middleton, WI
- NPI 1164085965
-
- General Acute Care Hospital
- Madison, WI
- NPI 1114920048
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.