FIATSOGBE SETUTSI DZUALI
NPI 1922637644
Dermatology in Madison, WI

Active since April 04, 2020PECOS EnrolledAccepts Medicare Assignment
4621 EASTPARK BLVD, MADISON, WI 53718(608) 914-0300 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fiatsogbe Setutsi Dzuali NPPES

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

FIATSOGBE SETUTSI DZUALI (NPI 1922637644) is an individual dermatology provider in Madison, Wisconsin, licensed in Wisconsin (85958-20) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922637644
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameFIATSOGBE SETUTSI DZUALI
Location Address4621 EASTPARK BLVDMadison, WI 53718-2000
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2019
Enumeration DateApril 4, 2020
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1922637644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 85958-20
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

4621 EASTPARK BLVD, Madison, WI 53718

Secondary Practice Locations 2

Location 1451 Junction RdMadison, WI 53717-2656 · Phone (608) 263-6226
Location 22799 W Grand BlvdDetroit, MI 48202-2689 · Phone (313) 916-2889

Accepted 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

Fiatsogbe Setutsi Dzuali 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 ID2668897414
PECOS Enrollment IDI20251016004223
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 53718 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Durable Medical Equipment & Medical Supplies
4621 EASTPARK BLVD
MADISON, WI 53718
Dietitian, Registered
4621 EASTPARK BLVD
MADISON, WI 53718
Pharmacy
4621 EASTPARK BLVD
MADISON, WI 53718
Genetic Counselor, MS
4621 EASTPARK BLVD
MADISON, WI 53718
Psychologist
4621 EASTPARK BLVD
MADISON, WI 53718
Physician Assistant (Medical)
4621 EASTPARK BLVD
MADISON, WI 53718
Nurse Practitioner
4621 EASTPARK BLVD
MADISON, WI 53718
Nurse Practitioner
4621 EASTPARK BLVD
MADISON, WI 53718

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 Fiatsogbe Dzuali's NPI number?

The NPI number for Fiatsogbe Dzuali is 1922637644. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Fiatsogbe Dzuali located?

Fiatsogbe Dzuali practices at 4621 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 914-0300.

What is Fiatsogbe Dzuali's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Fiatsogbe Dzuali enrolled in Medicare?

Yes. Fiatsogbe Dzuali 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 Fiatsogbe Dzuali accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Quartz list Fiatsogbe Dzuali 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 Fiatsogbe Dzuali affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Fiatsogbe Dzuali was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.