Active NPI
Pritesh Patel
- Diagnostic Radiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 81971
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-2060
- Fax
- (414) 259-9290
- NPI assigned
- Apr 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036128410 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 81971 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-2060
Other practice location 1
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-5533
Other practice location 2
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 257-3060
Other practice location 3
1905 N Calhoun Rd
Brookfield, WI 53005-5005
Phone (262) 754-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194969857 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ppatelmd98375@uchospital.direct-ci.com | University of Chicago Physicians Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Southern Illinois University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990
1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451
2315 E Moreland Blvd
Waukesha, WI 53186-2939
Phone (262) 532-5700
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-6165
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
W180 N8065 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500
W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 253-2700
W180N8085 Town Hall Rd
Suite 301
Menomonee Falls, WI 53051-3518
Phone (262) 257-3200
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
- Community Memorial Hospital
- Froedtert Community Hospital
- St Josephs Community Hospital West Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81971 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Chicago | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Interoperability endpoints
- ppatel642979@direct.froedtert.com
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
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
-
- General Acute Care Hospital
- Oak Creek, WI
- NPI 1134794506
-
- General Acute Care Hospital
- New Berlin, WI
- NPI 1730710898
-
- General Acute Care Hospital
- Pewaukee, WI
- NPI 1740805423
-
- General Acute Care Hospital
- Mequon, WI
- NPI 1902474430
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1194969857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-2060",
"fax_number": "414-259-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-2060",
"fax_number": "414-259-9290"
}
],
"practiceLocations": [
{
"address_1": "3200 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "West Bend",
"state": "WI",
"postal_code": "530959274",
"country_code": "US",
"telephone_number": "262-836-5533",
"fax_number": "262-836-7301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W180N8085 Town Hall Rd",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530513518",
"country_code": "US",
"telephone_number": "262-257-3060",
"fax_number": "262-518-5052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 N Calhoun Rd",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055005",
"country_code": "US",
"telephone_number": "262-754-8000",
"fax_number": "262-780-3396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRITESH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-26",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036128410",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "81971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194969857",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppatelmd98375@uchospital.direct-ci.com",
"affiliation": "Y",
"affiliationName": "University of Chicago Physicians Group",
"address_1": "5841 S Maryland Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606371443",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 13, 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.