Individual provider Active NPI

Manfred Maximilian Kreuzpaintner, MD

  • Pain Medicine (Anesthesiology) Physician
  • Waukesha, WI
National Provider Identifier
1144391582
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
31662-020 Issued in WI
Practice address
1501 Airport Rd
Waukesha, WI 53188-2461
Phone
(262) 548-7986
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 31662-020 WI Primary

Addresses

Primary practice location

1501 Airport Rd
Waukesha, WI 53188-2461

Mailing address

South 76 West 14236 Woods Road
Muskego, WI 53150
Phone (262) 679-9892

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000007 WI Practitioner - AnesthesiologyPractitioner - Pain Management 1850483033 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Anesthesia SCGroup PAC ID 9032451737, 7 clinicians

Practice addresses (Care Compare)

10200 W Innovation Dr
Milwaukee, WI 53226-4825
Phone (414) 302-9196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31662-020WIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Jun 1, 1994 Accepting new patients
Waukesha County CurrentSince Jun 1, 1994 Accepting new patients
Wisconsin Health Fund CurrentSince Dec 4, 2015 Accepting new patients
Vision Anesthesia, SC CurrentSince Apr 1, 2019 Accepting new patients
Waukesha County Current Accepting new patients
Brookfield Anesthesiologists, S.C. Pain Medicine CurrentSince Jan 1, 2016 Accepting new patients
Wisconsin Specialty Surgery Center,LLC Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Chad Novasic PT LTD Past Accepting new patients

Locations

7401 104th Ave
Kenosha, WI 53142
Phone (262) 697-1006

7401 104th Ave
#100
Kenosha, WI 53142
Phone (262) 697-1006

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

Bin 88773
Milwaukee, WI 53288

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

500 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7666

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

10200 W Innovation Dr
Wauwatosa, WI 53226
Phone (414) 302-9196

10200 W Innovation Dr
Ste 700
Wauwatosa, WI 53226
Phone (414) 302-9196

2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144391582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH 76 WEST 14236 WOODS ROAD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "53150",
            "telephone_number": "262-679-9892",
            "fax_number": "262-679-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 AIRPORT RD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882461",
            "telephone_number": "262-548-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUZPAINTNER",
        "first_name": "MANFRED",
        "middle_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "31662-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.