NPIMap

Organization Active NPI

Midwest Critical Care SC

  • Critical Care Medicine (Internal Medicine) Physician
  • Mount Pleasant, WI
National Provider Identifier
1093425647
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
MIDWEST CRITICAL CARE SC
Practice address
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone
(262) 687-4011
NPI assigned
Dec 5, 2022
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Dr. Kristi Maso, MDNPI 1841588936
Title
President
Phone
(602) 738-1478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary

Addresses

Primary practice location

3801 Spring St
Mount Pleasant, WI 53405-1667

Mailing address

1801 N Commerce St Unit 300
Milwaukee, WI 53212-3785
Phone (602) 738-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230214000166 WI Part B Supplier - Clinic/Group Practice 4486026804 Receives reassigned benefits from 77 practitioners
Practice locations: Appleton, WI; Oshkosh, WI; Mount Pleasant, WI; Milwaukee, WI; Mequon, WI; Franklin, WI; Brookfield, WI

National Provider Directory

National Provider Directory

Locations

19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4236

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1093425647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N COMMERCE ST UNIT 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123785",
            "telephone_number": "602-738-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051667",
            "telephone_number": "262-687-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CRITICAL CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MASO",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-738-1478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.