Active NPI
Stuart Dongre
- Student in an Organized Health Care Education/Training Program
- Milwaukee, WI
National Provider Identifier
1124573068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 606 W Wisconsin Ave
Unit 1001
Milwaukee, WI 53203-1924 - Phone
- (262) 720-3761
- NPI assigned
- Aug 21, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
606 W Wisconsin Ave
Unit 1001
Milwaukee, WI 53203-1924
Mailing address
606 W Wisconsin Ave
Unit 1001
Milwaukee, WI 53203-1924
Phone (262) 720-3761
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170215002388 | WI | Order and Referring Only - Dentist | 4688957764 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471737600000",
"number": "1124573068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 W WISCONSIN AVE",
"address_2": "UNIT 1001",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532031924",
"telephone_number": "262-720-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 W WISCONSIN AVE",
"address_2": "UNIT 1001",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532031924",
"telephone_number": "262-720-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONGRE",
"first_name": "STUART",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-21",
"last_updated": "2016-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.