Individual provider Active NPI

Jonathan Kushi, M.D.

  • Rheumatology Physician
  • Glendale, WI
National Provider Identifier
1073692901
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
51897-020 Issued in WI
Practice address
7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone
(414) 351-4009
Fax
(414) 351-7060
NPI assigned
Nov 2, 2006
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51897-020 WI
Rheumatology Physician 207RR0500X 51897-020 WI Primary

Addresses

Primary practice location

7080 N Port Washington Rd
Glendale, WI 53217-3879

Mailing address

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

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
I20090618000354 WI Practitioner - RheumatologyPractitioner - Internal Medicine 2062562721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Southern California Keck School of Medicine, 2006
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

Merit-based Incentive Payment System (MIPS)

Final score
95.49 of 100Reported as individual
Quality
93.43
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51897-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatic Disease Center Rheumatology CurrentSince Jul 16, 2012 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GADIAA
  • Direct secure messaging: jonathan.kushi@rdc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1073692901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "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 RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHI",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "51897-020",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "51897-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.