Individual provider Active NPI

Jose G. Araujo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Wauwatosa, WI
National Provider Identifier
1033282967
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
28823 Issued in WI
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

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35816000MedicaidWI
690006345OtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140728001663 WI Practitioner - PathologyPractitioner - General SurgeryPractitioner - General PracticePractitioner - Addiction Medicine 8628032182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Addiction Medicine, General Surgery
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

LicenseStateTypeSpecialty
28823WIMDAnatomic Pathology & Clinical Pathology Physician
28823-20WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Clinical Laboratories LLC CurrentSince Mar 12, 2023 Accepting new patients
Anewu LLC General Practice CurrentSince Apr 9, 2019 Accepting new patients
Saqh,Inc CurrentSince Dec 28, 2019 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.

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

Verify at the official NPI Registry.