Froedtert Memorial Lutheran Hospital, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.

Doing business as

Froedtert Hospital RAYUS Radiology

Practice address

W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538

Phone

(262) 251-5305

NPI assigned

Nov 23, 2016

Last updated

Dec 18, 2025By the provider in NPPES

Organization subpart

No

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 2

Addresses

Other names 1

• Froedtert Hospital RAYUS Radiology Doing business as

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.

• Froedtert Memorial Lutheran Hospital, Inc.

  dba Froedtert Bluemound Rehabilitation Hospital

  • Rehabilitation Hospital Unit
  • Wauwatosa, WI
  • NPI 1003819475
  NPD tax ID
• Froedtert Memorial Lutheran Hospital, Inc.

  dba Froedtert & MCW Mequon Health Center Remote Dispensing Site

  • Community/Retail Pharmacy
  • Mequon, WI
  • NPI 1275056723
  NPD tax ID

Locations

Practitioners 5

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.

• Olufisayo Fagbemi

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1083111546
  NPD (past)
• Matthieu Joseph Mayer, MD

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1528564861
  NPD (past)
• Douglas Pierce, MD

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1043715758
  NPD (past)
• William J Mullin, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1891762688
  NPD (past)
• Mark E Myers, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1073592960
  NPD (past)

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1013450006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "address_2": "400 WOODLAND PRIME",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490",
            "telephone_number": "414-777-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W129N7055 NORTHFIELD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530510538",
            "telephone_number": "262-251-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 S 108th St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532282504",
            "country_code": "US",
            "telephone_number": "414-409-7593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 E Moreland Blvd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531862939",
            "country_code": "US",
            "telephone_number": "262-524-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10596 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530925537",
            "country_code": "US",
            "telephone_number": "262-240-7226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2445 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532261401",
            "country_code": "US",
            "telephone_number": "414-774-7226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 S 18th Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530957847",
            "country_code": "US",
            "telephone_number": "262-240-7226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10050 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531545520",
            "country_code": "US",
            "telephone_number": "262-240-7226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "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": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WI",
            "license": "279,232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert Hospital RAYUS Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Froedtert Health Home Infusion LLC
• Froedtert Health Pharmacy LLC (Froedtert Pharmacy 125)
• Froedtert Health Pharmacy LLC (Froedtert Pharmacy 275)
• Froedtert Health Pharmacy LLC (Froedtert Pharmacy 150)
• Froedtert Health Pharmacy LLC
• Froedtert Memorial Lutheran Hospital, Inc.
• Stephen Froehlich
• Gerardo P Fronda, M.D.
• Alexandra E Frunza, NP
• Amanda Mae Fuchs, PA-C, MPAS

• Radiology Clinic/Center in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Radiology Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.