BELOIT HEALTH SYSTEM, INC
NPI 1568677417
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Beloit, WI

NPI Status: Active since May 14, 2007

Contact Information

1969 W HART RD
BELOIT, WI
ZIP 53511
Phone: (608) 364-5123

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  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...
  • Accepts Insurance
  • CLIA Number: 52D2009773
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-12-2026

About BELOIT HEALTH SYSTEM, INC

This page provides the complete NPI Profile along with additional information for Beloit Health System, Inc, a provider established in Beloit, Wisconsin operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1568677417 assigned on May 2007. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Beloit Health System, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Julia Egebrecht (Director, Revenue Cycle)

NPI
1568677417
Provider Legal Name
BELOIT HEALTH SYSTEM, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1969 W HART RD BELOIT, WI 53511
Location Phone
(608) 364-5123
Mailing Address
1905 E HUEBBE PKWY BELOIT, WI 53511
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2007
Last Update Date
02-10-2025
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 

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:

  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JULIA EGEBRECHT

Authorized Official Title
DIRECTOR, REVENUE CYCLE
Authorized Official Phone
(608) 364-1615

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
52D2009773
Facility Type
Physician Office
Certificate Effective Date
July 13, 2024
Certificate Expiration Date
July 12, 2026
Laboratory Director
DR. STEPHEN R. RUDISILL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Beloit Health System, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for BELOIT HEALTH SYSTEM, INC

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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 1568677417, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 2 + 7 + 1 + 4 + 4 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1568677417.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Pain Medicine)
1969 W HART RD
BELOIT, WI 53511
Anesthesiology
1969 W HART RD
BELOIT, WI 53511
Anesthesiology
1969 W HART RD, BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Anesthesiology
1969 W HART RD
BELOIT, WI 53511
Radiology (Diagnostic Radiology)
1969 W HART RD
BELOIT, WI 53511
Internal Medicine
1969 W HART RD
BELOIT, WI 53511
Emergency Medicine
1969 W HART RD
BELOIT, WI 53511
Emergency Medicine
1969 W HART RD
BELOIT, WI 53511
Emergency Medicine
1969 W HART RD
BELOIT, WI 53511
Counselor (Mental Health)
1969 W HART RD
BELOIT, WI 53511
Pharmacist
1969 W HART RD
BELOIT, WI 53511
Pharmacist
1969 W HART RD, BMH PHARMACY
BELOIT, WI 53511
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568677417, enumerated as an "organization" on May 14, 2007.

The provider is located at 1969 W HART RD BELOIT, WI 53511 and the phone number is (608) 364-5123.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Quartz. Please consult your insurance carrier or call the provider to verify.