Jason Henry Przybylo, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

59907-20 Issued in WI

Practice address

3805B Spring St Ste 320
Mount Pleasant, WI 53405-1644

Phone

(262) 687-8322

Fax

(262) 687-9011

NPI assigned

Jun 1, 2011

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

Locations

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.

• Ascension Medical Group-Southeast Wisconsin Inc

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086

  Neurological Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083908677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 320",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051644",
            "telephone_number": "262-687-8322",
            "fax_number": "262-687-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 320",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051644",
            "telephone_number": "262-687-8322",
            "fax_number": "262-687-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLO",
        "first_name": "JASON",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "59907-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn E Praninsky, LCSW
• Sophia Elizabeth Prater, ATR, LPC, CSAC
• Premier Radiology Wisconsin, LLC
• Branko Prpa, M.D.
• Nicholas Z Pryomski, M.D.
• PSP Health
• PT Plus Management Corp
• Carolyn Lysa Ptaszek, OTR/L
• Praakrut Purohit, DMD
• Melissa Marie Pust, M.S. OTR/L

• Neurological Surgery Physician in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Neurological Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.