Individual provider Active NPI

Jaime Diaz Cabatingan, M.D.

  • Family Medicine Physician
  • Grafton, WI
National Provider Identifier
1144406869
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19401 Issued in WI
Practice address
2061 Cheyenne CT
Grafton, WI 53024-9368
Phone
(262) 376-1934
Fax
(262) 375-2076
NPI assigned
Jan 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19401 WI Primary

Addresses

Primary practice location

2061 Cheyenne CT
Grafton, WI 53024-9368

Mailing address

4425 N Port Washington Rd
Attn: Csmcp Clinic Credentialing
Glendale, WI 53212-1082
Phone (262) 376-1934

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
I20080202000016 WI Practitioner - Family Practice 7618059353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19401WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime D. Cabatingan, M.D.,S.C. Family Medicine CurrentSince Jan 7, 2008 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jan 1, 2010 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Family Medicine Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jan 1, 2010 Accepting new patients
Jaime D. Cabatingan, M.D.,S.C. Family Medicine Past Accepting new patients

Locations

N28W5901 Lincoln Blvd
Cedarburg, WI 53012
Phone (262) 375-2800

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

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

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

2061 Cheyenne Ct
Grafton, WI 53024
Phone (262) 243-4952

1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1144406869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N PORT WASHINGTON RD",
            "address_2": "ATTN: CSMCP CLINIC CREDENTIALING",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121082",
            "telephone_number": "262-376-1934",
            "fax_number": "262-375-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 CHEYENNE CT",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249368",
            "telephone_number": "262-376-1934",
            "fax_number": "262-375-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABATINGAN",
        "first_name": "JAIME",
        "middle_name": "DIAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "19401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.