Individual provider Active NPI

Chad J Stepke, MD

  • Gastroenterology Physician
  • Milwaukee, WI
National Provider Identifier
1093789315
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
43327 Issued in WI
Practice address
2350 N Lake Dr Ste 500
Milwaukee, WI 53211-4528
Phone
(414) 226-4020
Fax
(414) 225-2929
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 43327 WI Primary

Addresses

Primary practice location

2350 N Lake Dr Ste 500
Milwaukee, WI 53211-4528

Mailing address

788 N. Jefferson Street
Suite 300/Attn. Kaaren Butzen
Milwaukee, WI 53202
Phone (414) 272-8950

Other identifiers 1

IdentifierTypeStateIssuer
1093789315MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040715001281 WI Practitioner - GastroenterologyPractitioner - Internal Medicine 6204815954 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical Affiliates IncGroup PAC ID 5991606337, 86 clinicians

Practice addresses (Care Compare)

788 N Jefferson St
Suite 401
Milwaukee, WI 53202-3718
Phone (414) 226-4020

801 S 70TH St
West Allis, WI 53214-3147
Phone (414) 773-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy88
Upper gastrointestinal (GI) endoscopy for acid reflux185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43327WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jan 10, 2006 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jan 10, 2006 Accepting new patients
Madison Medical Affiliates, Inc. CurrentSince Sep 1, 2004 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc PastSince Sep 1, 2004 Accepting new patients

Locations

7423 Solutions Ctr
Chicago, IL 60677

13133 N Port Washington Rd
Ste G16
Mequon, WI 53097
Phone (262) 243-2500

13133 N Port Washington Rd
Ste G01
Mequon, WI 53097
Phone (262) 243-2500

788 N Jefferson St
Ste 300ATTN
Milwaukee, WI 53202

2350 N Lake Dr
Ste 500
Milwaukee, WI 53211
Phone (414) 226-4020

2350 N Lake Dr
Ste 306
Milwaukee, WI 53211
Phone (414) 226-4020

2350 N Lake Dr
Ste 501
Milwaukee, WI 53211
Phone (414) 226-4020

788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1093789315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 N. JEFFERSON STREET",
            "address_2": "SUITE 300/ATTN. KAAREN BUTZEN",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "414-272-8950",
            "fax_number": "414-272-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N LAKE DR STE 500",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114528",
            "telephone_number": "414-226-4020",
            "fax_number": "414-225-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPKE",
        "first_name": "CHAD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "43327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093789315",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.