Individual provider Active NPI

Raymond M Janusz, D.C.

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1154351237
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2411-012 Issued in WI
Practice address
2727 W Cleveland Ave Ste 100
Milwaukee, WI 53215-2956
Phone
(414) 643-6000
Fax
(414) 643-6400
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2411-012 WI Primary

Addresses

Primary practice location

2727 W Cleveland Ave Ste 100
Milwaukee, WI 53215-2956

Mailing address

PO Box 666
Brookfield, WI 53008-0666
Phone (414) 643-6000

Other identifiers 1

IdentifierTypeStateIssuer
38859800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000753 WI Practitioner - Chiropractic 6901064120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2727 W Cleveland Ave
Suite 100
Milwaukee, WI 53215-2956
Phone (414) 643-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2411-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Podomedik Clinics LLC. CurrentSince Jul 1, 2016 Accepting new patients
Lifetime Chiropractic Center LLC Chiropractor CurrentSince Jul 1, 2016 Accepting new patients
Advanced Health and Wellness Medical Center, SC Chiropractor Past Accepting new patients

Locations

2727 W Cleveland Ave
Ste 100
Milwaukee, WI 53215
Phone (414) 383-1111

Organizations & group practices 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1154351237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 666",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080666",
            "telephone_number": "414-643-6000",
            "fax_number": "414-643-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W CLEVELAND AVE STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152956",
            "telephone_number": "414-643-6000",
            "fax_number": "414-643-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUSZ",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2411-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38859800",
            "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 May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.