NPIMap

Individual provider Active NPI

Norbert R Straub, MD

  • Family Medicine Physician
  • Prairie Du Sac, WI
National Provider Identifier
1992762421
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39210 Issued in WI
Practice address
80 1St St
Prairie Du Sac, WI 53578-1550
Phone
(608) 643-3311
NPI assigned
Apr 27, 2006
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 39210-020 WI
Family Medicine Physician 207Q00000X 39210 WI Primary

Addresses

Primary practice location

80 1St St
Prairie Du Sac, WI 53578-1550

Mailing address

W10651 Wildwood Way
Poynette, WI 53955-9476
Phone (608) 516-2424

Other identifiers 1

IdentifierTypeStateIssuer
32443100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MD2 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
I20080326000928 WI Practitioner - Family PracticePractitioner - Emergency Medicine 2062303746 Reassigns benefits to 2 organizations
I20100806000712 MD Practitioner - Family PracticePractitioner - Emergency Medicine 2062303746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Wisconsin School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians

Practice addresses (Care Compare)

260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-2471

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39210-020WIMDEmergency Medicine Physician
39210WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Hospital Center Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Chester River Health Center CurrentSince May 1, 2015 Accepting new patients
Lafayette County Current Accepting new patients
Sauk Prairie Healthcare, Inc. Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Jan 1, 2018 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Chester River Hospital Center Current Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Lakeport Emergency Medical Corporation Emergency Medicine Past Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

300 Byrn St
Cambridge, MD 21613
Phone (410) 228-5511

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466

506 Crocker St
Ste 3
Mazomanie, WI 53560
Phone (608) 795-4110

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

80 1st St
Prairie du Sac, WI 53578
Phone (608) 643-3311

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nstraub475139@direct.umm.edu
  • Direct secure messaging: nstraub669799@direct.unitypoint.org

Organizations & group practices 11

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 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1992762421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W10651 WILDWOOD WAY",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539559476",
            "telephone_number": "608-516-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781550",
            "telephone_number": "608-643-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "NORBERT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "39210-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "39210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32443100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Sac, WI

Sources for this page

Verify at the official NPI Registry.