Active NPI
Megan Eichstaedt, MD
- Family Medicine Physician
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 74137
- Practice address
- 201 N Mayfair Rd
Wauwatosa, WI 53226-4216 - Phone
- (414) 771-8228
- NPI assigned
- Mar 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 74137 | WI | Primary |
Addresses
Primary practice location
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Mailing address
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 771-8228
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1185 Corporate Ctr Dr
Suite 175
Oconomowoc, WI 53066-4889
Phone (262) 928-8400
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 259-7361
Hospital & facility affiliations
- Ascension SE Wisconsin Hospital
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74137 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Family Medicine | Current | Accepting new patients |
| Prohealth Medical Group Inc. | Family Medicine | Current | Accepting new patients |
| Prohealth Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
1185 Corporate Center Dr
Ste 175
Oconomowoc, WI 53066
Phone (262) 928-6236
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Family Medicine
-
- Family Medicine Physician
- Hartland, WI
- NPI 1386785178
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1174083232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-771-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-771-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHSTAEDT",
"first_name": "MEGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-23",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "74137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.