Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elly A Ranum, MD

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1205453651

Elly A Ranum, MD is a Pediatric Medicine in Madison, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri and Wisconsin.

Years since qualifying
6
Trained at
University of Wisconsin School of Medicine
Licensed in
MO, WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Highland Ave
Madison, WI 53705-2274
Phone: (608) 915-0680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 404 N Keene St, Columbia, MO 65201-6626 — (573) 882-4438

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 87402-20 (WI)
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X · Licence 2023015015 (MO)

Record details

NPI number1205453651
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 1, 2020
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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