Individual provider Active NPI

Ellen C Hayes, MD

  • Reproductive Endocrinology Physician
  • Wauwatosa, WI
National Provider Identifier
1174546899
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
40314-20 Issued in WI
Practice address
2500 N Mayfair Rd Ste 420
Wauwatosa, WI 53226-1443
Phone
(262) 518-7448
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 35.148645 OH
Reproductive Endocrinology Physician 207VE0102X 036.143473 IL
Reproductive Endocrinology Physician 207VE0102X 4301116595 MI
Reproductive Endocrinology Physician 207VE0102X 61401 MN
Reproductive Endocrinology Physician 207VE0102X MD61493841 WA
Reproductive Endocrinology Physician 207VE0102X 40314-20 WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd Ste 420
Wauwatosa, WI 53226-1443

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

2501 NE 134th St Ste 100
Vancouver, WA 98686-3027
Phone (360) 535-7590

Other practice location 2

1455 N Milwaukee Ave
Chicago, IL 60622-2015
Phone (773) 435-9036

Other practice location 3

6 Bronze Pointe S
Swansea, IL 62226-8307
Phone (314) 266-2062

Other practice location 4

2246 Weber Rd
Crest Hill, IL 60403-0928
Phone (815) 725-4161

Other practice location 5

138 N 2nd St
Minneapolis, MN 55401-4458
Phone (612) 230-4090

Other practice location 6

333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Phone (773) 435-9029

Other practice location 7

811 Stewart St
Seattle, WA 98101-1305
Phone (206) 736-5839

Other practice location 8

2501 Compass Rd Ste 135
Glenview, IL 60026-8068
Phone (224) 404-2042

Other practice location 9

2172 Blackberry Dr Ste 204
Geneva, IL 60134-1106
Phone (815) 725-4341

Other practice location 10

8845 Lyra Dr
Columbus, OH 43240
Phone (380) 222-2731

Other practice location 11

1585 N Barrington Rd Ste 401
Hoffman Estates, IL 60169-5020
Phone (847) 843-7090

Other practice location 12

26400 W 12 Mile Rd Ste 140
Southfield, MI 48034-1753
Phone (248) 780-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.143473ILMDReproductive Endocrinology Physician
4301116595MIMDReproductive Endocrinology Physician
61401MNMDReproductive Endocrinology Physician
35.148645OHMDReproductive Endocrinology Physician
MD61493841WAMDReproductive Endocrinology Physician
40314-20WIMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reena Jabamoni MDSC Past Accepting new patients
Peach State Medical Practice, PC Obstetrics & Gynecology Past Accepting new patients
Vios Fertility Institute Chicago Reproductive Endocrinology Past Accepting new patients
Vios Fertility Institute Chicago Reproductive Endocrinology Past Accepting new patients
Peach State Medical Practice, PC Obstetrics & Gynecology Past Accepting new patients

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1174546899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 420",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261443",
            "telephone_number": "262-518-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 NE 134th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986863027",
            "country_code": "US",
            "telephone_number": "360-535-7590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222015",
            "country_code": "US",
            "telephone_number": "773-435-9036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Bronze Pointe S",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268307",
            "country_code": "US",
            "telephone_number": "314-266-2062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2246 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604030928",
            "country_code": "US",
            "telephone_number": "815-725-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554014458",
            "country_code": "US",
            "telephone_number": "612-230-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 S Desplaines St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606615514",
            "country_code": "US",
            "telephone_number": "773-435-9029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Stewart St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011305",
            "country_code": "US",
            "telephone_number": "206-736-5839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Compass Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268068",
            "country_code": "US",
            "telephone_number": "224-404-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2172 Blackberry Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601341106",
            "country_code": "US",
            "telephone_number": "815-725-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8845 Lyra Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43240",
            "country_code": "US",
            "telephone_number": "380-222-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1585 N Barrington Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601695020",
            "country_code": "US",
            "telephone_number": "847-843-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 W 12 Mile Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341753",
            "country_code": "US",
            "telephone_number": "248-780-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ELLEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35.148645",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036.143473",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301116595",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MN",
            "license": "61401",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WA",
            "license": "MD61493841",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "WI",
            "license": "40314-20",
            "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 May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.