Tamara A Adducci, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Milwaukee, WI
NPI 1083939367 · NPPES record last updated Sep 4, 2014
Key facts
- NPI
- 1083939367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 56599 (WI)
- Practice address
- 2311 N Prospect Ave
Milwaukee, WI 53211-4445 - Phone
- (414) 319-3000
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia St Marys Hospital Milwaukee Inc
Practice addresses (Care Compare)
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
13133 N Port Washington Rd
Suite G06
Mequon, WI 53097-2421
Phone (262) 243-8371
801 S 70TH St
West Allis, WI 53214-3147
Phone (414) 773-6600
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
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 |
|---|---|---|---|---|
| I20140630001360 | WI | Practitioner - Obstetrics/Gynecology | 6305061615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56599 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current |
Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Past | Accepting new patients |
Locations
400 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 465-3000
13133 N Port Washington Rd
Ste 118
Mequon, WI 53097
Phone (262) 243-7470
2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 56599 | WI | Yes |
Addresses
Primary practice location
2311 N Prospect Ave
Milwaukee, WI 53211-4445
Mailing address
4425 N Port Washington Rd
Glendale, WI 53212-1082
Phone (414) 326-2218
Other providers in Milwaukee, WI
- Adch Transportation LLC
- Add to Life Inc
- Naveen Kumar Addagatla
- Alyssa Addicks
- Heather L Addis
- Jennifer Oluyemisi Adeghate
- Ayobami A Adelayi
- Cynthia Cinny Adell
- Besim Ademi
- Said Aden
All providers in Milwaukee, WI · Obstetrics & Gynecology 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 Sep 4, 2014. 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.