Gregory Barczak, DPM
Individual provider Active NPI Podiatrist · Menomonee Falls, WI
NPI 1235101478 · NPPES record last updated Nov 16, 2012
Key facts
- NPI
- 1235101478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 635 (WI)
- Practice address
- W180N7950 Town Hall Rd
Menomonee Falls, WI 53051-4049 - Phone
- (252) 255-2500
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Froedtert Andthe Medical College of Wisconsin Community Physicians Inc
Practice addresses (Care Compare)
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500
Hospital & facility affiliations
- Community Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 454 |
| Removal or shaving of skin growth | 166 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100331000204 | WI | Practitioner - Podiatry | 5294647939 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | 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
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
110 Lone Oak Ln
Hartford, WI 53027
Phone (262) 670-1800
1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
W180N7950 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 250-5158
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451
Interoperability endpoints
- gbarczak6074@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 635 | WI | Yes |
Addresses
Primary practice location
W180N7950 Town Hall Rd
Menomonee Falls, WI 53051-4049
Mailing address
W180N7950 Town Hall Rd
Menomonee Falls, WI 53051-4049
Phone (252) 255-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43214900 | Medicaid | WI |
Other providers in Menomonee Falls, WI
- Kim M Baker
- Kelly Bakic
- Balaji Group, Inc
- Denise H. Balistrieri
- Betsy J. Baranek
- Brett A Barkimer
- Jeanne Bascom
- Brianna Kelly Bates
- Katherine Lamich Bauer
- Ashley Kristina Baugher
All providers in Menomonee Falls, WI · Podiatrist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.