Individual provider Active NPI

Thomas E Knechtges, MD

  • Diagnostic Radiology Physician
  • Greenfield, WI
National Provider Identifier
1063595205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17707 Issued in WI
Practice address
6150 West Layton Ave
Greenfield, WI 53220
Phone
(414) 282-4100
Fax
(414) 282-4108
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 17707 WI Primary

Addresses

Primary practice location

6150 West Layton Ave
Greenfield, WI 53220

Mailing address

6150 West Layton Ave
Greenfield, WI 53220
Phone (414) 282-4100

Other identifiers 1

IdentifierTypeStateIssuer
30170000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17707WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ermed, SC Current Accepting new patients
Milwaukee Radiologists LTD Diagnostic Radiology Current Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology PastSince Jan 1, 2026 Accepting new patients
Medical Diagnostic Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

39856 Treasury Ctr
Chicago, IL 60694

3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300

6150 W Layton Ave
Ste 110
Greenfield, WI 53220
Phone (414) 761-8346

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

6150 W Layton Ave
Milwaukee, WI 53220

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063595205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 WEST LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-282-4100",
            "fax_number": "414-282-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 WEST LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-282-4100",
            "fax_number": "414-282-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNECHTGES",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "17707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30170000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.