NPI 1801039995
Jake Ronald Theis, M.D.
Radiology, Diagnostic Radiology · Madison, WI
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 2:06 am EDT
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Jake Ronald Theis, M.D. is a health care provider (Radiology, Diagnostic Radiology) in Madison, Wisconsin with National Provider Identifier (NPI) 1801039995. The NPI was issued on Apr 20, 2009 and the registry record was last updated on Nov 21, 2014. The registry lists a license in Wisconsin.
Registry record
- NPI
- 1801039995
- Type
- Individual (NPI-1)
- Primary specialty
- Radiology, Diagnostic Radiology 2085R0202X
- Practice location
- 600 Highland Ave
Madison, WI 53792-0001 - Phone
- (608) 263-8340
- NPI issued
- Apr 20, 2009
- Registry record updated
- Nov 21, 2014
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | Wisconsin | 62065 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Diagnostic Radiology Physician providers in Wisconsin
- Julia A. Bruckner, M.D.Milwaukee, WI
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.