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

Pankaj Prasun, MD

Individual provider Pediatrics Physician · NPI 1699922369

Pankaj Prasun, MD is a Medical Genetics and Genomics in Madison, Wisconsin. Qualified in 2004, 22 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
22
Licensed in
MI, WI
In the registry since
2008
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) 262-2507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Gustave L Levy Pl # 1497, New York, NY 10029 — (212) 241-6947
  • Singhia Ghat, Samastipur, 84823 — (995) 554-9700

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 3675 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301091882 (MI)

Record details

NPI number1699922369
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 25, 2008
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address1 Gustave L Levy Pl # 1497, New York, NY 10029-6504

Medicare enrollment

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

Medicare specialtyMEDICAL GENETICS AND GENOMICS
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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