Active NPI
Rajesh M Trivedi, MD
- Internal Medicine Physician
- West Bend, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40478
- Practice address
- 205 Valley Ave
West Bend, WI 53095-5312 - Phone
- (262) 338-1123
- Fax
- (262) 338-7684
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40478 | WI | Primary |
Addresses
Primary practice location
205 Valley Ave
West Bend, WI 53095-5312
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (262) 338-1123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3248100 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rtrivedi13386@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300
1061 E Commerce Boulevard
Slinger, WI 53086-9326
Phone (262) 644-2900
12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200
1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000
205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123
2901 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3677
Phone (414) 649-3990
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
6425 W Mequon Rd
Mequon, WI 53092-1855
Phone (262) 242-0051
975 Port Washington Rd
Grafton, WI 53024-9204
Phone (262) 329-8650
Hospital & facility affiliations
- Aurora at Home
- Aurora Medical Ctr Washington County
- Aurora Medical Center
- Cedar Lake Health and Rehab Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40478 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200
1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
205 Valley Ave
West Bend, WI 53095
Phone (262) 338-1123
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
Internal Medicine
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
-
- General Acute Care Hospital
- Hartford, WI
- NPI 1760420103
-
- Clinic/Center
- Hartford, WI
- NPI 1306056056
Hospital
-
- Skilled Nursing Facility
- West Bend, WI
- NPI 1669513560
Nursing home
-
- Skilled Nursing Facility
- West Bend, WI
- NPI 1811997695
Nursing home
-
- Home Health Agency
- West Allis, WI
- NPI 1134255037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1184731291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "262-338-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 VALLEY AVE",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530955312",
"telephone_number": "262-338-1123",
"fax_number": "262-338-7684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "RAJESH",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "40478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3248100",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtrivedi13386@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "205 Valley Ave",
"city": "West Bend",
"state": "WI",
"country_code": "US",
"postal_code": "530955312",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "205 Valley Ave",
"city": "West Bend",
"state": "WI",
"country_code": "US",
"postal_code": "530955312",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.