Active NPI
Mary Marica McLachlan, MD
- Cardiovascular Disease Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 84473
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-6000
- Fax
- (414) 805-6280
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125070988 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 84473 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083144562 | Medicaid | WI |
Other names 1
- Mary Marica Potkonjak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical College of Wisconsin, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990
1271 N 6TH St
Milwaukee, WI 53212-3360
Phone (414) 978-9100
1901 E Capitol Dr
Shorewood, WI 53211-2335
Phone (414) 424-5300
1905 N Calhoun Rd
Brookfield, WI 53005-5036
21700 Intertech Dr
Brookfield, WI 53045-5197
Phone (262) 532-8300
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-6165
4455 S 108TH St
Greenfield, WI 53228-2504
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7700
840 N 87TH St
Milwaukee, WI 53226-3586
Phone (414) 805-5540
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
N64W25037 Prospect Cir
Sussex, WI 53089-2680
Phone (262) 532-8680
N69W5269 Columbia Rd
Cedarburg, WI 53012-2103
Phone (262) 474-8600
W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538
Phone (262) 253-5400
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
- St Josephs Community Hospital West Bend
- Froedtert Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84473 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Internal Medicine | Current | Accepting new patients |
| Rush University Medical Center | Internal Medicine | Current | Accepting new patients |
| Rush University Medical Group | Internal Medicine | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| The Medical College of Wisconsin Inc | Past | Accepting new patients |
Locations
1700 W Van Buren St
Ste 500
Chicago, IL 60612
Phone (312) 563-2875
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
75 Remittance Dr
Dept 1611
Chicago, IL 60675
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
11430 N Port Washington Rd
Mequon, WI 53092
Phone (262) 518-1900
8900 W Doyne Ave
Milwaukee, WI 53226
Phone (414) 805-1295
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- mmclachlan838242@direct.froedtert.com
- mpotkonjak136905@direct.rush.rush-health.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
-
- Case Management Agency
- Milwaukee, WI
- NPI 1649521105
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Creek, WI
- NPI 1134794506
-
- General Acute Care Hospital
- New Berlin, WI
- NPI 1730710898
-
- General Acute Care Hospital
- Pewaukee, WI
- NPI 1740805423
-
- General Acute Care Hospital
- Mequon, WI
- NPI 1902474430
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1083144562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6000",
"fax_number": "414-805-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6000",
"fax_number": "414-805-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLACHLAN",
"first_name": "MARY",
"middle_name": "MARICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125070988",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "84473",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083144562",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "POTKONJAK",
"middle_name": "MARICA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.