Active NPI
Jose G. Araujo, MD
- Anatomic Pathology & Clinical Pathology Physician
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 28823
- Practice address
- 11803 W North Ave
Wauwatosa, WI 53226-2077 - Phone
- (414) 258-5522
- Fax
- (414) 258-1337
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 28823 | WI | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 28823-20 | WI | |
| General Practice Physician | 208D00000X | 28823-20 | WI |
Addresses
Primary practice location
11803 W North Ave
Wauwatosa, WI 53226-2077
Mailing address
2420 S Graylog LN
New Berlin, WI 53151-2924
Phone (262) 641-0083
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35816000 | Medicaid | WI | |
| 690006345 | Other | MEDICARE RAILROAD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140728001663 | WI | Practitioner - Pathology | 8628032182 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
214 Green Bay Rd
Thiensville, WI 53092-1616
Phone (414) 305-4046
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28823 | WI | MD | Anatomic Pathology & Clinical Pathology Physician |
| 28823-20 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Clinical Laboratories LLC | Current | Accepting new patients | |
| Anewu LLC | General Practice | Current | Accepting new patients |
| Saqh,Inc | Current | Accepting new patients | |
| Denoon Recovery LLC | Past | Accepting new patients |
Locations
21755 Gateway Rd
Brookfield, WI 53045
Phone (262) 788-9311
214 Green Bay Rd
Thiensville, WI 53092
Phone (414) 247-9005
11803 W North Ave
Ste 200
Wauwatosa, WI 53226
Phone (262) 754-3130
2222 N Mayfair Rd
Ste 200
Wauwatosa, WI 53226
Phone (414) 299-3872
11803 W North Ave
Wauwatosa, WI 53226
Phone (414) 258-5522
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Milwaukee, WI
- NPI 1497114912
-
- Clinical Medical Laboratory
- Brookfield, WI
- NPI 1316573827
-
- Clinic/Center
- Waukesha, WI
- NPI 1427786979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1033282967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 S GRAYLOG LN",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531512924",
"telephone_number": "262-641-0083",
"fax_number": "262-522-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 W NORTH AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262077",
"telephone_number": "414-258-5522",
"fax_number": "414-258-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAUJO",
"first_name": "JOSE",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WI",
"license": "28823",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WI",
"license": "28823-20",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "28823-20",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35816000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "690006345",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.