NPIMap

Organization Active NPI

Froedtert Memorial Lutheran Hospital, Inc.

  • Rehabilitation Hospital Unit
  • Wauwatosa, WI
National Provider Identifier
1003819475
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Practice address
10000 W Bluemound Rd
Wauwatosa, WI 53226-4321
Phone
(414) 454-8000
Fax
(414) 805-3808
NPI assigned
May 31, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Austin Reeder
Title
President
Phone
(414) 805-2915

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 25

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Froedtert Bluemound Rehabilitation HospitalCCN 52T177
Ownership
Non-profit
Certified
Jun 15, 2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Hospital certification: CCN 52T177

Medicare enrollment files
Legal name
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.
Doing business as
FROEDTERT BLUEMOUND REHABILITATION HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation unit

All disclosed owners & managing parties 20

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kareeda Chones-Aguam Individual Corporate DirectorBoard Member Jul 1, 2022
Lisa M Vanlerberghe Individual Corporate DirectorBoard Member Jul 1, 2024
Froedtert Thedacare Health, Inc. Organization, Milwaukee, WI Operational/Managerial Control Dec 29, 2000
Stephen Brenton Individual Corporate DirectorBoard Member Jul 1, 2019
Matthew R Partridge Individual Corporate OfficerSenior Vice President, Finance Dec 1, 2025
Louis B Butler Individual Corporate DirectorBoard Member Jul 1, 2017
Mary E Schroeder Individual Corporate DirectorBoard Member Aug 1, 2024
Derek Mosley Individual Corporate DirectorBoard Member Jul 1, 2022
Matthew Rinka Individual Corporate DirectorBoard Member Jul 1, 2019
Paula Schmidt Individual Corporate DirectorBoard Member Sep 1, 2022
Franklin Cumberbatch Individual Corporate DirectorBoard Member Jul 1, 2023
Barbara a Slawski Individual Corporate DirectorBoard Member Jul 1, 2022
Andrew S Kastenmeier Individual Corporate Director Jul 1, 2025
Austin Reeder Individual Corporate DirectorBoard Member Feb 10, 2025
W-2 Managing EmployeePresident Feb 10, 2025
Jenna E Walker Individual Corporate DirectorBoard Member Nov 21, 2024
Imran a Andrabi Individual Corporate DirectorBoard Member Jul 1, 2024
Jennifer Lopez Individual Corporate DirectorBoard Member Jul 1, 2023
Sarah Bonewits-Feldner Individual Corporate DirectorBoard Member Jul 1, 2024
Chris Nou Xiong Individual Corporate DirectorBoard Member Jul 1, 2023
Amanda Gonring Individual Corporate DirectorBoard Member Feb 19, 2026

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20080304000531 WI Part a Provider - Hospital 1456342682 Practice locations: Milwaukee, WI; Wauwatosa, WI

National Provider Directory

National Provider Directory
Tax ID family
Froedtert Memorial Lutheran (3 organizations share this tax ID)

Locations

2335 E Kashian Ln
Ste 220
Fresno, CA 93701
Phone (559) 256-5140

4644 Lincoln Blvd
Ste 102
Marina del Rey, CA 90292
Phone (310) 822-0022

2420 Castillo St
Ste 200
Santa Barbara, CA 93105
Phone (805) 563-1999

7250 Peak Dr
Ste 100
Las Vegas, NV 89128
Phone (702) 245-5960

8750 William Coffey Dr
Milwaukee, WI 53226
Phone (414) 805-3700

900 N 92nd St
Wauwatosa, WI 53226
Phone (414) 805-3000

8810 William Coffey Dr
Wauwatosa, WI 53226
Phone (414) 805-6717

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

10000 W Bluemound Rd
Wauwatosa, WI 53226-4321

Mailing address

N74W12501 Leatherwood CT Ste 103
Menomonee Falls, WI 53051-4490

Other practice location 1

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-3000

Other names 1

NPPES NPI Registry
  • Froedtert Bluemound Rehabilitation Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2025.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1003819475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT STE 103",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W BLUEMOUND RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264321",
            "telephone_number": "414-454-8000",
            "fax_number": "414-805-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-805-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-805-2915"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert Bluemound Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.