ZOE LOUISE BLUMENTHAL MD
NPI 1063041044
Urology in Madison, WI
About Zoe Louise Blumenthal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZOE LOUISE BLUMENTHAL MD (NPI 1063041044) is an individual urology provider in Madison, Wisconsin, licensed in Wisconsin (77401-20) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Clare Hospital - Baraboo, and maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Zoe Louise Blumenthal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Zoe Blumenthal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 1,377 clinicians in this Medicare group
Mcfarland, WI 53558
- Reassigned Medicare billing, Wisconsin enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Clare Hospital - Baraboo
Acute Care Hospitals · Baraboo, WISsm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WISsm Health St Mary's Hospital - Janesville
Acute Care Hospitals · Janesville, WIColumbus Community Hospital
Critical Access Hospitals · Columbus, WIUpland Hills Health
Critical Access Hospitals · Dodgeville, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MADISON, WI 53792
MADISON, WI 53792
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 Zoe Blumenthal's NPI number?
The NPI number for Zoe Blumenthal is 1063041044. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Zoe Blumenthal located?
Zoe Blumenthal practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6400.
What is Zoe Blumenthal's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Zoe Blumenthal enrolled in Medicare?
Yes. Zoe Blumenthal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Zoe Blumenthal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zoe Blumenthal reassigns Medicare benefits to 2 organizations: Dean Health Systems, Inc (Madison, WI) and Stoughton Hospital Association (Mcfarland, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zoe Blumenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zoe Blumenthal accept?
Health plans from Dean Health Plan list Zoe Blumenthal 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.
Is Zoe Blumenthal affiliated with any hospitals?
According to CMS data, Zoe Blumenthal is affiliated with Ssm Health St Clare Hospital - Baraboo, Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville, Columbus Community Hospital and Upland Hills Health.
When was this NPI record last updated?
The NPPES record for Zoe Blumenthal was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Zoe Louise Blumenthal, MD · NPI 1063041044
Urology physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1063041044 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 77401-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 HIGHLAND AVE, Madison, WI 53792-0001
- **Phone:** (608) 263-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dean Health Systems, Inc (NPI 1053358846, Madison, WI); Stoughton Hospital Association (NPI 1477146082, Mcfarland, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 19, 2025
- **Other identifiers:** Medicaid 1063041044 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1063041044) · Data from the CMS NPPES public registry.