SSM HEALTH DEAN MEDICAL GROUP
NPI 1053358846
Allergy & Immunology in Madison, WI
NPI Status: Active since June 01, 2006
Contact Information
1211 FISH HATCHERY RD
MADISON, WI
ZIP 53715
Phone: (608) 252-8000
- Organization
- Allergy & Immunology
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 52D0393534
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-26-2027
About SSM HEALTH DEAN MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Ssm Health Dean Medical Group, a provider established in Madison, Wisconsin operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1053358846 assigned on June 2006. The practitioner's primary taxonomy code is 207K00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Ssm Health Dean Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ssm Health Dean Medical Group. The authorized official of this NPI record is Amy J Grinnell (Vice President-finance)
- NPI
- 1053358846
- Provider Legal Name
- DEAN HEALTH SYSTEMS, INC
- Other Organization Name
- SSM HEALTH DEAN MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1211 FISH HATCHERY RD MADISON, WI 53715
- Location Phone
- (608) 252-8000
- Mailing Address
- 1808 W BELTLINE HWY MADISON, WI 53713
- Mailing Phone
- (608) 252-8000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2006
- Last Update Date
- 05-24-2023
- Code Navigator
Ssm Health Dean Medical Group is a medicare supplier with PTAN 20516609 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Allergy & Immunology
- Taxonomy Code
- 207K00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 3 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 4 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 6 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 11 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 12 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 13 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | |
| 14 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Catastrophic Essential (+ Incentives) - HMO
- Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38722200 | MEDICAID (05) | WI | |
| 41174000 | MEDICAID (05) | WI | |
| 41809500 | MEDICAID (05) | WI | |
| 42134400 | MEDICAID (05) | WI | |
| 44012400 | MEDICAID (05) | WI | |
| 41624000 | MEDICAID (05) | WI | |
| 32743800 | MEDICAID (05) | WI | |
| 43410400 | MEDICAID (05) | WI |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20516609
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0393534
- Facility Type
- Physician Office
- Certificate Effective Date
- October 27, 2025
- Certificate Expiration Date
- October 26, 2027
- Laboratory Director
- DR. MOLLY A. GURNEY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ssm Health Dean Medical Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053358846, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MADISON, WI 53715
MADISON, WI 53715
MADISON, WI 53715
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053358846, enumerated as an "organization" on June 01, 2006.
The provider is located at 1211 FISH HATCHERY RD MADISON, WI 53715 and the phone number is (608) 252-8000.
Allergy & Immunology with taxonomy code 207K00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
