Active NPI
Matthew Nathan Weinberg, M.D.
- Cardiovascular Disease Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 50504-20
- Practice address
- 721 American Ave
Suite 403
Waukesha, WI 53188-5071 - Phone
- (262) 549-1516
- Fax
- (262) 549-0648
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 50504-20 | WI | Primary |
Addresses
Primary practice location
721 American Ave
Suite 403
Waukesha, WI 53188-5071
Mailing address
721 American Ave
Suite 403
Waukesha, WI 53188-5071
Phone (262) 549-1516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35136500 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Rush Medical College of Rush University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 Spring City Dr
Suite 250
Waukesha, WI 53186-5934
Phone (262) 928-0370
109 Air Park Dr
Watertown, WI 53094-7400
Phone (262) 928-5100
1185 Corporate Ctr Dr
Oconomowoc, WI 53066-4887
1185 Corporate Ctr Dr
Suite 175
Oconomowoc, WI 53066-4889
Phone (262) 928-8400
13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500
1500 Walnut Ridge Dr
Hartland, WI 53029-9317
Phone (262) 928-7500
195 Discovery Dr
Brookfield, WI 53045-2862
Phone (262) 513-7100
210 NW Barstow St
Suite 201
Waukesha, WI 53188-3771
Phone (262) 555-4869
2130 Big Bend Rd
Waukesha, WI 53189-7624
Phone (262) 928-7555
240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-1900
2750 Golf Rd
Delafield, WI 53018-2062
Phone (262) 928-4900
717 W Moreland Blvd
Waukesha, WI 53188-2432
Phone (262) 542-9100
721 American Ave
Waukesha, WI 53188-5071
725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-1000
790 Cornerstone Xing
Waterford, WI 53185-4582
Phone (262) 363-1977
791 Summit Ave
Oconomowoc, WI 53066-3844
Phone (262) 569-0554
N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0808
N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Phone (262) 928-4704
N57W24950 N Corporate Cir
Sussex, WI 53089-4383
Phone (262) 820-3093
S69W15472 Janesville Rd
Muskego, WI 53150-9330
Phone (262) 928-7000
Hospital & facility affiliations
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
- Fort Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50504-20 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Prohealth Medical Group Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100
2750 Golf Rd
Delafield, WI 53018
Phone (262) 928-4900
1500 Walnut Ridge Dr
Hartland, WI 53029
Phone (262) 513-7500
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N16W24131 Riverwood Dr
Waukesha, WI 53188
Phone (262) 696-0696
717 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 542-9100
2130 Big Bend Rd
Waukesha, WI 53189
Phone (262) 928-7555
721 American Ave
Ste 403
Waukesha, WI 53188
Phone (262) 549-1516
Interoperability endpoints
- mweinberg8965@direct.phci.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1760523559
Cardiovascular Disease
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Cardiovascular Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Atkinson, WI
- NPI 1811916281
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1093856635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 AMERICAN AVE",
"address_2": "SUITE 403",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885071",
"telephone_number": "262-549-1516",
"fax_number": "262-549-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 AMERICAN AVE",
"address_2": "SUITE 403",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885071",
"telephone_number": "262-549-1516",
"fax_number": "262-549-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "MATTHEW",
"middle_name": "NATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "50504-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35136500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.