Individual provider Active NPI

John E Rectenwald, M.D., M.S.

  • Vascular Surgery Physician
  • Madison, WI
National Provider Identifier
1992806905
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
68587 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792
Phone
(608) 263-8915
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Q5712 TX
Surgery Physician 208600000X 4301082195 MI
Vascular Surgery Physician 2086S0129X Q5712 TX
Vascular Surgery Physician 2086S0129X 4301082195 MI
Vascular Surgery Physician 2086S0129X 68587 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

451 Junction Rd
Madison, WI 53717
Phone (608) 263-8915

Other practice location 2

451 Junction Rd
Madison, WI 53717
Phone (608) 263-8915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrectenwald864685@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151003000088 TX Practitioner - Vascular Surgery 3476578683 Reassigns benefits to 1 organization
I20180119000510 WI Practitioner - Vascular Surgery 3476578683 Reassigns benefits to 1 organization
I20200219001484 IL Practitioner - Vascular Surgery 3476578683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

451 Junction Rd
Madison, WI 53717-2656
Phone (608) 265-7700

6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089
  • Richland Hospital Hospital, Richland Center, WI, CCN 521341
  • Reedsburg Area Medical Center Hospital, Reedsburg, WI, CCN 521351
  • Southwest Health Center Hospital, Platteville, WI, CCN 521354

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5712TXMDVascular Surgery Physician
68587WIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 18, 2022 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 18, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 14, 2015 Accepting new patients
Swedishamerican Hospital CurrentSince Feb 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Vascular Surgery CurrentSince Aug 14, 2015 Accepting new patients
Swedishamerican Hospital CurrentSince Feb 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Swedishamerican Hospital Current Accepting new patients
Rockford Health Physicians CurrentSince Jul 14, 2022 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

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

451 Junction Rd
Madison, WI 53717
Phone (608) 263-5010

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

251 2nd St
Reedsburg, WI 53959
Phone (608) 524-4334

301 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • Direct secure messaging: jrectenwald606137@direct.unitypoint.org

Organizations & group practices 10

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 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1992806905",
    "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": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53792",
            "telephone_number": "608-263-8915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Junction Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53717",
            "country_code": "US",
            "telephone_number": "608-263-8915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 Junction Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53717",
            "country_code": "US",
            "telephone_number": "608-263-8915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECTENWALD",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q5712",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301082195",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "Q5712",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301082195",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "68587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrectenwald864685@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "451 Junction Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.