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ELIZABETH ROSE DOHERTY MD
NPI 1093036790
Internal Medicine in Madison, WI

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
2202 S PARK ST, MADISON, WI 53713(608) 443-5480(608) 443-5534 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2021, Jul 3, 2018 (2 updates tracked since 2018).

About Elizabeth Rose Doherty Md NPPES

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

ELIZABETH ROSE DOHERTY MD (NPI 1093036790) is an individual internal medicine provider in Madison, Wisconsin, licensed in Wisconsin (69243-20) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Wisconsin School Of Medicine (2010).

NPPES Registry Identity

NPI1093036790
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELIZABETH ROSE DOHERTYCredential: MD
Location Address2202 S PARK STMadison, WI 53713
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 443-5480
Fax(608) 443-5534
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2010
Enumeration DateJune 16, 2010
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1093036790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 69243-20
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 69243-20 (WI)
2202 S PARK ST, Madison, WI 53713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Rose Doherty 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.

PECOS PAC ID7810128253
PECOS Enrollment IDI20140820002469, I20180523000021
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MELISSA J HILLER APSW
Social Worker
2202 S PARK ST
MADISON, WI 53713
Dane County (608) 443-5480
MS. ELIZABETH ANN BRAUN NP
Nurse Practitioner
2202 S PARK ST, SUITE 400
MADISON, WI 53713
Dane County (608) 261-9256
KATHRYN KAYE VANDREESE CNM
Advanced Practice Midwife
2202 S PARK ST
MADISON, WI 53713
Dane County (608) 443-5480
KATERI KLINGELE APSW
Social Worker
2202 S PARK ST
MADISON, WI 53713
Dane County (608) 443-5480
ELENA WATSON APSW
Social Worker
2202 S PARK ST
MADISON, WI 53713
Dane County (608) 443-5480
CHARNEESE ALEXANDER RDH
Dental Hygienist
2202 S PARK ST
MADISON, WI 53713
Dane County (608) 443-5482
JONATHAN J BICE DDS
Dentist
2202 S PARK ST
MADISON, WI 53713
Dane County (608) 443-5482
EVA M VIVIAN REGISTERED DIETITIAN
Nutritionist (Nutrition, Education)
2202 S PARK ST
MADISON, WI 53713
Dane County (608) 443-5480

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 Elizabeth Doherty's NPI number?

The NPI number for Elizabeth Doherty is 1093036790. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Elizabeth Doherty located?

Elizabeth Doherty practices at 2202 S Park St, Madison, WI 53713. The listed phone number is (608) 443-5480.

What is Elizabeth Doherty's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elizabeth Doherty enrolled in Medicare?

Yes. Elizabeth Doherty 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.

What insurance does Elizabeth Doherty accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Elizabeth Doherty 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 Elizabeth Doherty affiliated with any hospitals?

According to CMS data, Elizabeth Doherty is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Elizabeth Doherty was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.