Individual provider Active NPI

Elizabeth A Pritts, MD

  • Reproductive Endocrinology Physician
  • Middleton, WI
National Provider Identifier
1992773485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
44212 Issued in WI
Practice address
3146 Deming Way
Middleton, WI 53562-1461
Phone
(608) 824-0075
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 44212 WI Primary

Addresses

Primary practice location

3146 Deming Way
Middleton, WI 53562-1461

Mailing address

3146 Deming Way
Middleton, WI 53562-1461
Phone (608) 824-0075

Other identifiers 1

IdentifierTypeStateIssuer
34197600MedicaidWI

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
I20080201000562 WI Practitioner - Endocrinology 1355423088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44212WIMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gago Center for Fertility, PLLC Reproductive Endocrinology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2738/brand/1/csg/21/fhir/r4
  • Direct secure messaging: elizabeth.pritts.1@2738.direct.athenahealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992773485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621461",
            "telephone_number": "608-824-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621461",
            "telephone_number": "608-824-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITTS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WI",
            "license": "44212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34197600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.