Active NPI
Daniel J Geenen, M.D.
- Gastroenterology Physician
- Milwaukee, WI
National Provider Identifier
1144297508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 31528-020
- Practice address
- 2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689 - Phone
- (414) 908-6615
- Fax
- (414) 385-2980
- NPI assigned
- Mar 3, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 31528-020 | WI | Primary |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Mailing address
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32000300 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110409000036 | WI | Practitioner - Gastroenterology | 8527970938 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31528-020 | WI | MD | Gastroenterology Physician |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Camillus Home Health Agency | Home health agency | Corporate Officer | May 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1144297508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153689",
"telephone_number": "414-908-6615",
"fax_number": "414-385-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153689",
"telephone_number": "414-908-6615",
"fax_number": "414-385-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEENEN",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "31528-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32000300",
"state": "WI"
}
],
"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 Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.