Mark Y Nunag, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

51858 Issued in WI

Practice address

2050 Continential Drive
West Bend, WI 53095

Phone

(262) 306-2700

Fax

(262) 306-2704

NPI assigned

Feb 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midwest Nephrology Associates SCGroup PAC ID 8527045236, 30 clinicians

Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care Midwest West Bend Dialysis facility, West Bend, WI, CCN 522544
• Fresenius Kidney Care Slinger Dialysis facility, Slinger, WI, CCN 522609
• DaVita Cedarburg Dialysis Dialysis facility, Cedarburg, WI, CCN 522529
• Aurora Medical Center Hospital, Grafton, WI, CCN 520207
• Aurora Medical Ctr Washington County Hospital, Hartford, WI, CCN 520038
• Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
• Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
• St Josephs Community Hospital West Bend Hospital, West Bend, WI, CCN 520063

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnunagmd18588@direct.froedtert.com

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.

• Midwest Nephrology Associates, S.C.

  • Nephrology Physician
  • Milwaukee, WI
  • NPI 1659304467
  Medicare reassignment Care Compare group NPD
• Aurora Advanced Healthcare, Inc.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1265629133
  Medicare reassignment Care Compare group
• Aurora Medical Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Milwaukee, WI
  • NPI 1427271378
  Medicare reassignment
• Aurora Medical Group, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1659599157
  NPD
• Midwest Nephrology Associates, SC

  • Ambulatory Surgical Clinic/Center
  • Milwaukee, WI
  • NPI 1558807131
  NPD
• Fresenius Medical Care Milwaukee, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Milwaukee, WI
  • NPI 1093234569
  NPD (past)
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  NPD (past)
• Medical Research Associates,PC

  • Internal Medicine Physician
  • Valhalla, NY
  • NPI 1801841895
  NPD (past)

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

• Fresenius Medical Care Midwest Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • West Bend, WI
  • NPI 1689910465

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Milwaukee, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Slinger, WI
  • NPI 1912447046

  Dialysis facility

  Care Compare affiliation Name & address match
• Aurora Health Care Metro, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cudahy, WI
  • NPI 1235355983

  Hospital

  Care Compare affiliation
• Aurora Health Care Metro, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1861447179
  Care Compare affiliation
• Aurora Medical Center Grafton, LLC

  • General Acute Care Hospital
  • Grafton, WI
  • NPI 1265740195
  Care Compare affiliation
• Aurora Medical Center of Washington County, Inc.

  • General Acute Care Hospital
  • Hartford, WI
  • NPI 1760420103
  Care Compare affiliation
• Aurora Medical Center of Washington County, Inc.M

  • Clinic/Center
  • Hartford, WI
  • NPI 1306056056

  Hospital

  Care Compare affiliation
• Columbia St. Mary'S Hospital Milwaukee, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1871656082
  Care Compare affiliation
• St. Josephs Community Hospital of West Bend Inc.

  • General Acute Care Hospital
  • West Bend, WI
  • NPI 1851336044
  Care Compare affiliation

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1104095017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN COURT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CONTINENTIAL DRIVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-306-2700",
            "fax_number": "262-306-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNAG",
        "first_name": "MARK",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "10708-0000",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "51858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35306400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2050 Continential Drive",
            "city": "West Bend",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnunag12003@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2050 Continential Drive",
            "city": "West Bend",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nephrology Physician in West Bend, WI
• Providers in West Bend, WI by specialty
• Nephrology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.

Verify at the official NPI Registry.