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BELOIT COLLEGE
NPI 1649462938
Family Medicine in Beloit, WI

Active since August 10, 2007CLIA 52D0935645 · Waiver
700 COLLEGE ST, BELOIT, WI 53511(608) 364-1348(608) 364-2236 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beloit College NPPES

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

BELOIT COLLEGE (NPI 1649462938) is a healthcare organization registered as a family medicine in Beloit, Wisconsin and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Ruth Gray, Assistant Administrator-operations, as its authorized official.

NPPES Registry Identity

NPI1649462938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBELOIT COLLEGE
Location Address700 COLLEGE STBeloit, WI 53511-5509
Mailing Address1905 Huebbe PkwyBeloit, WI 53511-1842 · (608) 364-1348 · Fax (608) 364-2236
Phone(608) 364-1348
Fax(608) 364-2236
Organization SubpartNo
Authorized OfficialRuth GrayAssistant Administrator-operations · (608) 364-1348
Enumeration DateAugust 10, 2007
✔ NPI 1649462938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
700 COLLEGE ST, Beloit, WI 53511
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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

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 Waiver 52D0935645

Beloit College/ Beloit Hospital · Beloit, WI
Active · expires May 21, 2027
CLIA Number52D0935645
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorDr. Roger Kapoor
Laboratory Phone(608) 363-2000
Laboratory LocationBeloit College/ Beloit Hospital700 College Street, Beloit, WI 53511
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ERIC HAQUE KHONDAKER
Specialist/Technologist (Athletic Trainer)
700 COLLEGE ST
BELOIT, WI 53511
Rock County (319) 931-3649
KARLYE CLAUSEN ATC
Specialist/Technologist (Athletic Trainer)
700 COLLEGE ST
BELOIT, WI 53511
Rock County (715) 577-3065

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 Beloit College's NPI number?

The NPI number for Beloit College is 1649462938. It was assigned to this organization in the NPPES registry on August 10, 2007.

Where is Beloit College located?

Beloit College is located at 700 College St, Beloit, WI 53511. The listed phone number is (608) 364-1348.

What is Beloit College's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beloit College hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0935645) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beloit College was last updated on August 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.