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SSM HEALTH DEAN MEDICAL GROUP
NPI 1053358846
Allergy & Immunology in Madison, WI

Active since June 01, 2006CLIA 52D0393534 · Certificate of Compliance
1211 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2023, Jan 18, 2022, Aug 3, 2020 and 1 more (4 updates tracked since 2015).

About Ssm Health Dean Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SSM HEALTH DEAN MEDICAL GROUP (NPI 1053358846) is a healthcare organization registered as an allergy & immunology in Madison, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 26, 2027 and lists Amy J Grinnell, Vice President-finance, as its authorized official.

NPPES Registry Identity

NPI1053358846
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameDEAN HEALTH SYSTEMS, INC
Location Address1211 FISH HATCHERY RDMadison, WI 53715-1909
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (608) 252-8000
Phone(608) 252-8000
Organization SubpartNo
Authorized OfficialAmy J GrinnellVice President-finance · (608) 260-3586
Enumeration DateJune 1, 2006
Last NPPES UpdateMay 24, 20234 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1053358846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedHospitalistTaxonomy 208M00000X
1211 FISH HATCHERY RD, Madison, WI 53715
Open in Google Maps ↗

Other Names 1

Doing Business AsSsm Health Dean Medical Group

Other Identifiers 8

Medicaid38722200WI
Medicaid41174000WI
Medicaid41809500WI
Medicaid42134400WI
Medicaid44012400WI
Medicaid41624000WI
Medicaid32743800WI
Medicaid43410400WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0393534

Ssm Health Dean Medical Group-South Madison Campus · Madison, WI
Active · expires Oct 26, 2027
CLIA Number52D0393534
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDr. Molly A. Gurney
Laboratory Phone(608) 283-7014
Laboratory LocationSsm Health Dean Medical Group-South Madison Campus1211 Fish Hatchery Rd, Madison, WI 53715
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Ssm Health Pharmacy carries, from the Medicare DMEPOS supplier directory.

Ssm Health Pharmacy

DMEPOS supplier · Madison, WIOperated by Dean Retail Services, Inc.
✔

Accepts Medicare assignment

Ssm Health Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20516609
Medicare Participant SinceJanuary 1, 2013
Supplier Location1211 Fish Hatchery Rd Ste 300Madison, WI 53715
Phone(608) 252-8044
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDLER K REINHOLTZ PT
Physical Therapist
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
CATHERINE GITTER
Registered Nurse (Ambulatory Care)
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-7757
KATHERINE F MORIARTY MD
Pediatrics
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
JASON S ISENBERG M.D.
Otolaryngology
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
NOLA LYNN ENDRES RD
Dietitian, Registered
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
CASSIE J KOLSTAD PA-C
Physician Assistant
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
KARMA LEA FAFENDYK
Pharmacist
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8020
MS. ARIEL ANN NELSON M.D.
Internal Medicine (Hematology & Oncology)
1211 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dean Health Systems, Inc's NPI number?

The NPI number for Dean Health Systems, Inc is 1053358846. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Ssm Health Dean Medical Group.

Where is Dean Health Systems, Inc located?

Dean Health Systems, Inc is located at 1211 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Dean Health Systems, Inc's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Does Dean Health Systems, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ssm Health Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Dean Health Systems, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D0393534) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dean Health Systems, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Dean Health Systems, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dean Health Systems, Inc was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.