Stephen R Bartos, MD
Individual provider Active NPI Surgery Physician · Waukesha, WI
NPI 1083601645 · NPPES record last updated Apr 24, 2019
Key facts
- NPI
- 1083601645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 37461 (WI)
- Practice address
- 1111 Delafield St
Ste 209
Waukesha, WI 53188-3417 - Phone
- (262) 542-0444
- Fax
- (262) 542-8214
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Wisconsin School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waukesha Surgical Specialists, S.C.
Practice addresses (Care Compare)
1111 Delafield St
Suite 209
Waukesha, WI 53188-3403
Phone (262) 542-0444
Hospital & facility affiliations
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 12 |
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100217000263 | WI | Practitioner - General Surgery |
9830170836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waukesha Surgical Specialists, S.C. | Surgery | Current |
Accepting new patients |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
1111 Delafield St
Ste 209
Waukesha, WI 53188
Phone (414) 542-0444
1111 Delafield St
Ste 100
Waukesha, WI 53188
Phone (262) 928-4300
Interoperability endpoints
- sbartos20689@direct.phci.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 37461 | WI | |
| Surgery Physician | 208600000X | 37461 | WI | Yes |
Addresses
Primary practice location
1111 Delafield St
Ste 209
Waukesha, WI 53188-3417
Mailing address
1111 Delafield St
Ste 209
Waukesha, WI 53188-3403
Phone (262) 542-0444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32240400 | Medicaid | WI |
Other providers in Waukesha, WI
- Andrew Barnhill
- Margaret Barrett
- April Jill Barron
- Tarkis Bernard Barsamian
- Nicole M Bartelt
- Luisa Bastian
- Chelsee Bates
- Charlotte Rose Bauer
- Regina Marie Bauer
- Lisa Marie Bauman
All providers in Waukesha, WI · Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.