NPIMap

Individual provider Active NPI

Rakesh Waghray, MD

  • Pulmonary Disease Physician
  • Milwaukee, WI
National Provider Identifier
1124059969
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
39828 Issued in WI
Practice address
3201 S 16TH St
2015
Milwaukee, WI 53215-4537
Phone
(414) 649-3810
NPI assigned
Jul 6, 2006
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 39828 WI Primary

Addresses

Primary practice location

3201 S 16TH St
2015
Milwaukee, WI 53215-4537

Mailing address

PO Box 070520
Milwaukee, WI 53207-0520
Phone (262) 240-0841

Other identifiers 1

IdentifierTypeStateIssuer
32463600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051216000707 WI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5597786509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Critical Care SCGroup PAC ID 4486026804, 49 clinicians

Practice addresses (Care Compare)

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (414) 585-1000

19475 W N Ave
Brookfield, WI 53045-4199
Phone (414) 453-7418

2301 N Lake Dr
Milwaukee, WI 53211-4508

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

3201 S 16TH St
Milwaukee, WI 53215-4532
Phone (414) 649-3810

3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5000

8901 W Lincoln Ave
Milwaukee, WI 53227-2409
Phone (414) 328-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39828WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jan 1, 2017 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Jan 1, 2017 Accepting new patients
Greater Milwaukee Critical Care and Pulmonary Associates SC Pulmonary Disease CurrentSince Jul 1, 2008 Accepting new patients

Locations

4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3201 S 16th St
Ste 2015
Milwaukee, WI 53215
Phone (262) 240-0841

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

8901 W Lincoln Ave
Fl 2
West Allis, WI 53227
Phone (414) 328-7700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1124059969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 070520",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532070520",
            "telephone_number": "262-240-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "2015",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154537",
            "telephone_number": "414-649-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGHRAY",
        "first_name": "RAKESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "39828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32463600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.