Thomas Francis Dubois, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

70256-20 Issued in WI

Practice address

1111 Delafield St Ste 115
Waukesha, WI 53188-3487

Phone

(262) 542-2536

NPI assigned

Mar 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical College of Wisconsin Affiliated Hospitals

  • Student in an Organized Health Care Education/Training Program
  • Milwaukee, WI
  • NPI 1164365714
  NPD (past)
• Waukesha Pediatric Associates

  • Pediatrics Physician
  • Waukesha, WI
  • NPI 1265588172
  NPD (past)

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1083146393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 115",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883487",
            "telephone_number": "262-542-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST STE 115",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883487",
            "telephone_number": "262-542-2536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 N 92nd St",
            "address_2": "Suite 730",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264875",
            "country_code": "US",
            "telephone_number": "414-266-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "WI",
            "license": "70256-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Driscoll, LCSW
• DRS Shoemaker & Gilson SC
• Denise Louise Drum, MSW LCSW SAC
• Arnavaz Dua, MD
• Steven David Dubner, M.D.
• Viraj V Dudhwala, M.D.
• Lawrence Vernon Dulek, RADC I
• Inna Dulkin
• Laura Ann Dull, DC
• Theresa Dumas, APSW

• Pediatric Adolescent Medicine Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Pediatric Adolescent Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.