Active NPI
Vicken R Vorperian, MD
- Clinical Cardiac Electrophysiology Physician
- Waukesha, WI
National Provider Identifier
1235106089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 34682
- Practice address
- 725 American Ave Suite 410
Prohealth Care Medical Associates Cardiology
Waukesha, WI 53188-5071 - Phone
- (262) 928-8300
- Fax
- (262) 521-1482
- NPI assigned
- Mar 1, 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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 34682 | WI | Primary |
Addresses
Primary practice location
725 American Ave Suite 410
Prohealth Care Medical Associates Cardiology
Waukesha, WI 53188-5071
Mailing address
725 American Ave Suite 410
Prohealth Care Medical Associates Cardiology
Waukesha, WI 53188-5071
Phone (262) 928-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31942600 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34682 | WI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waukesha Heart Institute, LTD. | Past | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Waukesha, WI
- NPI 1790720613
-
- Interventional Cardiology Physician
- Waukesha, WI
- NPI 1598700858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1235106089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 AMERICAN AVE SUITE 410",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES CARDIOLOGY",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885071",
"telephone_number": "262-928-8300",
"fax_number": "262-521-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 AMERICAN AVE SUITE 410",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES CARDIOLOGY",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885071",
"telephone_number": "262-928-8300",
"fax_number": "262-521-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORPERIAN",
"first_name": "VICKEN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WI",
"license": "34682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31942600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.