NPIMap

Organization Active NPI

Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wauwatosa, WI
National Provider Identifier
1154947224
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Practice address
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone
(414) 805-3666
NPI assigned
Jun 24, 2020
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Amir Abbas Ghaferi, MD
Title
President & Ceo
Phone
(734) 660-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1155 N Mayfair Rd
Wauwatosa, WI 53226-3462

Mailing address

N74W12501 Leatherwood CT
Menomonee Falls, WI 53051-4490
Phone (414) 777-0417

Other names 1

  • Froedtert Physician Partners, Inc. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117001032 WI DME Supplier - Multi-Specialty - Physician 3678760063 Practice locations: Milwaukee, WI

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Froedtert the Med College19 organizations share this tax ID, including this one
Part of
Froedtert the Med College

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1350 S Sunny Slope Rd
Brookfield, WI 53005
Phone (262) 798-8750

16650 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 827-7300

1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040

1905 N Calhoun Rd
Ste 100
Brookfield, WI 53005
Phone (262) 754-8000

21700 Intertech Dr
Brookfield, WI 53045
Phone (262) 532-8300

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

W225N16711 Cedar Park Ct
Jackson, WI 53037
Phone (262) 323-9257

N91W15750 Falls Pkwy
Menomonee Falls, WI 53051
Phone (262) 532-1100

N91W17271 Appleton Ave
Ste 1
Menomonee Falls, WI 53051
Phone (262) 502-3300

11065 N Port Washington Rd
Mequon, WI 53092
Phone (262) 643-1680

1316 W Forest Home Ave
Ste A
Milwaukee, WI 53204
Phone (414) 424-5000

2071 N Summit Ave
Milwaukee, WI 53202
Phone (414) 615-9400

209 Pewaukee Rd
Pewaukee, WI 53072
Phone (262) 956-6150

9555 76th St
Ste 2630
Pleasant Prairie, WI 53158
Phone (262) 656-3650

2631 Eastern Ave
Plymouth, WI 53073
Phone (920) 320-2436

115 N Sweetwater Blvd
Port Washington, WI 53074
Phone (920) 476-6300

924 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 395-7210

N64W24801 Main St
Ste 109
Sussex, WI 53089
Phone (262) 532-8680

2315 E Moreland Blvd
Waukesha, WI 53186
Phone (262) 532-5700

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

10150 W National Ave
Ste 190
West Allis, WI 53227
Phone (414) 271-5119

3212 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-6165

Practitioners & affiliated clinicians

Practitioners 2,450

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 2,450

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1154947224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490",
            "telephone_number": "414-777-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263462",
            "telephone_number": "414-805-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY  PHYSICIANS, INC.",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "GHAFERI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "734-660-4939",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Froedtert Physician Partners, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.