NPIMap

Organization Active NPI

Froedtert Memorial Lutheran Hospital, Inc.

Doing business as Froedtert Bluemound Rehabilitation Hospital

  • 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.
Doing business as
Froedtert Bluemound Rehabilitation Hospital
Practice address
10000 W Bluemound Rd
Wauwatosa, WI 53226-4321
Phone
(414) 454-8000
Fax
(414) 805-3808
NPI assigned
May 31, 2005
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

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

  • Froedtert Bluemound Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080304000531 WI Part A Provider - Hospital 1456342682 Practice locations: Milwaukee, WI; Wauwatosa, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003819475. Details of each certification follow.

Hospital certification: CCN 52T177

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

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Inpatient rehabilitation facility

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

National Provider Directory

National Provider Directory
Tax ID family
Froedtert Memorial Luth3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

4400 Kirkcaldy Dr
Bakersfield, CA 93306
Phone (661) 688-7000

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

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

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

Ownership & related parties

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 3

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

Facilities with the same owner 25

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

View all 25

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

Affiliated clinicians 7

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.