Carlos E Feliciano, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

51800-20 Issued in WI

Practice address

2717 N Grandview Blvd Ste 103
Waukesha, WI 53188-1672

Phone

(262) 565-6202

NPI assigned

Jun 26, 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

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Vein Clinics of Wisconsin LLCGroup PAC ID 3779943949, 2 clinicians

Vein Clinics of Chicago LLCGroup PAC ID 1153572383, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• USA Vein Clinics of Wisconsin LLC

  • Vascular Surgery Physician
  • Brookfield, WI
  • NPI 1033806534

  WI

  Medicare reassignment Care Compare group NPD
• Vein Clinics of Chicago LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1386904621

  IL

  Medicare reassignment Care Compare group NPD
• Congress Vein Clinic LLC

  • Trauma Surgery Physician
  • Chicago, IL
  • NPI 1467986901

  IL

  Medicare reassignment NPD
• North Shore Vein Clinics LLC

  • Vascular Surgery Physician
  • Northbrook, IL
  • NPI 1841547098

  IL

  Medicare reassignment NPD
• Congress Vascular Center LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1396267324
  NPD
• Numale Medical Center LLC

  • Adult Medicine Physician
  • Wauwatosa, WI
  • NPI 1275978983
  NPD (past)
• Trilogy Health Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waukesha, WI
  • NPI 1497401095

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1114189701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W WISCONSIN AVE UNIT 2000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031930",
            "telephone_number": "773-842-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 103",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "262-565-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "CARLOS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "51800-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Linde Farnsworth
• Nicolle Farvour, NP-C
• Melanie Fasano, APNP
• Dawn Marie Fazio Johnson, LPN
• Michael Patrick Feeney, DDS
• Carley Fell
• Justin Feller
• Rachel A Feller, LCSW, SAC-IT
• Elizabeth Anne Femal, RN
• Shannon D Fenceroy

• All providers in Waukesha, WI
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.