Skip to content
NPISignal

Individual Healthcare Provider

Samuel G Dillman, M.D.

NPI Record: ActivePediatrics — Pediatric Emergency Medicine
NPI1891149191
Madison, Wisconsin

Provider's NPPES record last updated: July 20, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1891149191
Primary Specialty
Pediatrics — Pediatric Emergency Medicine
Practice Location
Madison, Wisconsin
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:46 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Pediatric Emergency Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A pediatrician who has special qualifications to manage emergencies in infants and children.

    Taxonomy code 2080P0204X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Pediatrics

    Allopathic & Osteopathic Physicians

    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

    Taxonomy code 208000000X

Provider-Reported License Information

Pediatrics (Wisconsin)
68118
Emergency Medicine (Wisconsin)
68118
Pediatrics (Missouri)
2019024479
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

600 Highland Ave

Madison, Wisconsin 53792-4619

Phone: (608) 262-2398

Additional Practice Location

2401 Gillham Rd

Kansas City, Missouri 64108-4619

Phone: (262) 949-6622

Additional Practice Location

7624 W Lorraine Pl

Milwaukee, Wisconsin 53222-5038

Phone: (262) 949-6622

Record Information

Enumeration Date
April 22, 2016
Provider's NPPES Record Last Updated
July 20, 2022
Certification Date
July 20, 2022
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue