Individual provider Active NPI

Katherine Healy Vissers Finn, D.O.

  • Rheumatology Physician
  • Glendale, WI
National Provider Identifier
1053549642
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
75216 Issued in WI
Practice address
7080 N Port Washington Road
Glendale, WI 53217
Phone
(414) 351-4009
Fax
(414) 351-7060
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125:056942 IL
Rheumatology Physician 207RR0500X 02005150A IN
Rheumatology Physician 207RR0500X 75216 WI Primary

Addresses

Primary practice location

7080 N Port Washington Road
Glendale, WI 53217

Mailing address

7080 N Port Washington Road
Glendale, WI 53217
Phone (414) 351-4009

Other practice location 1

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-2729

Other identifiers 2

IdentifierTypeStateIssuer
471400487OtherINMEDICARE
300006175MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kfinn382628@Direct.FranciscanAlliance.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
I20210922001488 WI Practitioner - Rheumatology 0446478911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Midwestern University, Chicago College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatic Disease CenterGroup PAC ID 0840210852, 8 clinicians

Practice addresses (Care Compare)

7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone (414) 351-4009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125:056942ILMDInternal Medicine Physician
75216WIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatic Disease Center Rheumatology CurrentSince Sep 1, 2021 Accepting new patients

Locations

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

2500 W Layton Ave
Ste 250
Milwaukee, WI 53221
Phone (414) 269-9373

Interoperability endpoints

  • Direct secure messaging: katherine.finn@rdc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GADIAA/Endpoint/GADIAA
  • Direct secure messaging: kfinn382628@direct.franciscanalliance.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GADIAA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1053549642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON ROAD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON ROAD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1653 W Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINN",
        "first_name": "KATHERINE",
        "middle_name": "HEALY VISSERS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2024-05-20",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125:056942",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "02005150A",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "75216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "471400487",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300006175",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfinn382628@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "761 45th Ave Ste 103",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.