Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLY A RANUM MD
NPI 1205453651
Pediatrics - Developmental - Behavioral Pediatrics in Madison, WI

Q: What is Elly Ranum's NPI number?

The NPI number for Elly Ranum is 1205453651. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Q: What is Elly Ranum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Elly Ranum was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since July 01, 2020PECOS Enrolled

1500 HIGHLAND AVE, MADISON, WI 53705(608) 915-0680 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Aug 8, 2023, Jul 1, 2020 (3 updates tracked since 2020).

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About Elly A Ranum Md NPPES

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

ELLY A RANUM MD (NPI 1205453651) is an individual developmental - behavioral pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (87402-20) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2020).

NPPES Registry Identity

NPI1205453651

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameELLY A RANUMCredential: MD

Location Address1500 HIGHLAND AVEMadison, WI 53705-2274

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 915-0680

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2020

Enumeration DateJuly 1, 2020

Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1205453651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in WI · 87402-20✔ Licensed in MO · 2023015015

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

1500 HIGHLAND AVE, Madison, WI 53705

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elly A Ranum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395107114

PECOS Enrollment IDI20260717003224

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.

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.

ERIN THOMSON LCSW

Social Worker (Clinical)

1500 HIGHLAND AVE, ROOM 102
MADISON, WI 53705

Dane County (608) 263-5815

ALYSSA WALSH

Psychologist