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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457649634

Nicholas R Conwell, MD is an Emergency Medicine in Madison, Wisconsin. Graduated from University of Texas Southwestern Medical School at Dallas in 2011, 15 years ago. Practices with Mile Bluff Medical Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
WI
In the registry since
2011
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

4142 Veith Ave
Madison, WI 53704-1149
Phone: (608) 630-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 59843 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457649634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2011
Last updated in NPPESSeptember 27, 2017
Mailing address4142 Veith Ave, Madison, WI 53704-1149

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2011 (15 years in practice)
Group practice Mile Bluff Medical Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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