BELOIT HEALTH SYSTEM, INC
NPI 1679379085
Internal Medicine in Beloit, WI
- Organization
- Internal Medicine
- CLIA Number: 52D2009773
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-12-2028
About BELOIT HEALTH SYSTEM, INC
This page provides the complete NPI Profile along with additional information for Beloit Health System, Inc, an internist established in Beloit, Wisconsin operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1679379085 assigned on February 2025. The practitioner's primary taxonomy code is 207R00000X. 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 authorized official of this NPI record is Julia Egebrecht (Director, Revenue Cycle)
- NPI
- 1679379085 Verify this NPI
- Provider Name
- BELOIT HEALTH SYSTEM, INC
- Entity Type
- Organization
- Location Address
- 1735 MADISON ROAD BELOIT, WI 53511
- Location Phone
- (608) 363-7510
- Location Fax
- (608) 363-7528
- Mailing Address
- 1905 E HUEBBE PKWY BELOIT, WI 53511
- Mailing Phone
- (608) 364-1615
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2025
- Last Update Date
- 02-25-2025
- Code Navigator
An internist like Beloit Health System, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
| 3 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 291U00000X | Laboratories | Clinical Medical Laboratory |
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.
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, 2026
- Certificate Expiration Date
- July 12, 2028
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679379085, enumerated as an "organization" on February 25, 2025.
The provider is located at 1735 MADISON ROAD BELOIT, WI 53511 and the phone number is (608) 363-7510.
Internal Medicine with taxonomy code 207R00000X.
