Aurora Medical Group, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Oconomowoc, WI
NPI 1245304740 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1245304740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AURORA MEDICAL GROUP, INC.
- Practice address
- 1284 Summit Ave
Oconomowoc, WI 53066 - Phone
- (262) 560-3700
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Kara Richardson
- Title
- Assistant Treasurer
- Phone
- (704) 631-0450
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Aurora Baycare Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (62%) | Oct 26, 2010 |
| Evergreen Health Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 15, 2025 Jan 15, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057905 | WI | DME Supplier - Multi-Specialty - Physician | 6709794258 | Practice locations: Oconomowoc, WI |
National Provider Directory
- Tax ID family
- Doctors Clinic of Elkh
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1284 Summit Ave
Oconomowoc, WI 53066
Mailing address
1284 N Summit Ave
Oconomowoc, WI 53066-4459
Phone (262) 560-3700
Other names
- Aurora Health Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Oconomowoc, WI
- Apex Surgical Center LLC
- Elizabeth Arndorfer
- Arrowhead Union High School
- Joshua Artlip
- Sarit O. Aschkenazi-Steinberg
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Aurora Sinai Medical Center
- Keri Austin
- Avolen, LLC
All providers in Oconomowoc, WI · Durable Medical Equipment & Medical Supplies in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.