Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mario Jon Giacobassi, MD

Individual provider Family Medicine Physician · NPI 1821783218

Mario Jon Giacobassi, MD is a Family Medicine Physician in Madison, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5618 Odana Rd
Madison, WI 53719-1208
Phone: (608) 274-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1102 S Park St, Madison, WI 53715-1708 — (608) 263-3111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 85103-20 (WI)

Record details

NPI number1821783218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026

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