Individual provider Active NPI

Eric M Dorn, M.D.

  • Diagnostic Radiology Physician
  • Grafton, WI
National Provider Identifier
1033192562
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42422 Issued in WI
Practice address
975 Port Washington Rd
Grafton, WI 53024-9201
Phone
(262) 329-1000
NPI assigned
Nov 29, 2005
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 42422 WI Primary

Addresses

Primary practice location

975 Port Washington Rd
Grafton, WI 53024-9201

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone (414) 434-0461

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address edorn376629@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address edorn376629@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000071 WI Practitioner - Diagnostic Radiology 2668459173 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2000 E Layton Ave
Saint Francis, WI 53235-6053
Phone (414) 744-6589

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

975 Port Washington Rd
Grafton, WI 53024-9204
Phone (262) 329-8650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42422WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Medical Clinic, LLC CurrentSince Aug 1, 2023 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Apr 1, 2010 Accepting new patients
Precision Radiology - Illinois LTD CurrentSince Feb 1, 2023 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Apr 1, 2010 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Aug 1, 2023 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Jul 1, 2004 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Diagnostic Radiology CurrentSince Sep 1, 2008 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
Radiology Specialists of Denver-PC PastSince Feb 1, 2000 Accepting new patients
James a. Brostrom Past Accepting new patients
Dry Creek Imaging LLC Diagnostic Radiology Past Accepting new patients
Touchstone Imaging of Denver LLC Past Accepting new patients
Medical Scanning Consultants, P.a. Diagnostic Radiology Past Accepting new patients

Locations (25 of 35)

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

7400 W Rawson Ave
Ste G40
Franklin, WI 53132
Phone (414) 282-5314

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

6080 S 108th St
Hales Corners, WI 53130
Phone (414) 282-5314

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

12800 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-3655

13133 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-5850

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2025 W Oklahoma Ave
Ste 121
Milwaukee, WI 53215
Phone (414) 671-1711

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2745 W Layton Ave
Ste 206
Milwaukee, WI 53221
Phone (414) 281-9665

4848 S 76th St
Ste 110
Milwaukee, WI 53220
Phone (414) 282-3900

500 W Brown Deer Rd
Ste 202
Milwaukee, WI 53217

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

14555 W National Ave
New Berlin, WI 53151
Phone (262) 827-2900

14555 W National Ave
Ste 135
New Berlin, WI 53151
Phone (262) 827-3180

Interoperability endpoints

  • Direct secure messaging: edorn376629@direct.myadvocateaurora.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1033192562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 PORT WASHINGTON RD",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249201",
            "telephone_number": "262-329-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10945 N Port Washington Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530925078",
            "country_code": "US",
            "telephone_number": "414-434-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORN",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "42422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edorn376629@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "975 Port Washington Rd",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530249201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "975 Port Washington Rd",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530249201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10945 N Port Washington Rd Ste 201",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530925078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edorn376629@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10945 N Port Washington Rd Ste 201",
            "city": "Mequon",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530925078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.