Childrens Hospital of Wisconsin, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDRENS HOSPITAL OF WISCONSIN, INC.

Practice address

9000 W Wisconsin Ave
Ms 958
Milwaukee, WI 53226-4874

Phone

(414) 266-7615

Fax

(414) 266-6238

NPI assigned

Dec 1, 2006

Last updated

Nov 5, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monica Ricca

Title

VP Revenue Cycle

Phone

(414) 266-2511

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Children's Hospital of Wisconsin, Inc.

  • Children's Hospital
  • Milwaukee, WI
  • NPI 1750482022

  4486687399

  Same PAC ID
• Children's Hospital of Wisconsin, Inc.

  dba Children's Hospital of Wisconsin, Inc. - Fox Valley

  • Children's Hospital
  • Neenah, WI
  • NPI 1881780302

  4486687399

  Same PAC ID
• Children's Hospital of Wisconsin, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Milwaukee, WI
  • NPI 1952408353

  4486687399

  Same PAC ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Flight for Life Inc

  • Air Ambulance
  • Waukesha, WI
  • NPI 1801785589

  Member Of

  NPD member

Locations

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea R Carberry, M.D.

  • Pediatrics Physician
  • Neenah, WI
  • NPI 1225357122
  NPD
• Monica Clare Barany, AUD

  • Audiologist
  • Milwaukee, WI
  • NPI 1043059488
  NPD (past)
• Megan Patrice Bertsche, AUD

  • Audiologist
  • Milwaukee, WI
  • NPI 1093331563
  NPD (past)
• Sarah Catharine Bonnett, M.S.

  • Audiologist
  • Wauwatosa, WI
  • NPI 1710053749
  NPD (past)
• Barbara B Calkins, M.D.

  • Pediatrics Physician
  • Brookfield, WI
  • NPI 1699765594
  NPD (past)
• Jason Paul Carr, AUD

  • Audiologist
  • Milwaukee, WI
  • NPI 1386051241
  NPD (past)
• Jennifer M Chevalier, MD

  • Pediatrics Physician
  • Brookfield, WI
  • NPI 1003867409
  NPD (past)
• Steven R Chybowski, DDS

  • Pediatric Dentistry
  • Oak Creek, WI
  • NPI 1063418416
  NPD (past)
• Michael Collins

  • Physical Therapist
  • Brown Deer, WI
  • NPI 1720366958
  NPD (past)
• Noa Avigal Dimbert, AUD

  • Audiologist
  • Milwaukee, WI
  • NPI 1518708049
  NPD (past)
• Mary Catherine Donegan, AUD

  • Audiologist
  • Milwaukee, WI
  • NPI 1710486667
  NPD (past)
• Kelsey Aryne Dumanch, AU.D., CCC-A

  • Audiologist
  • Milwaukee, WI
  • NPI 1265968192
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1245308626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "address_2": "MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HOSPITAL OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "414-266-2511"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Medical Group, Inc (Milwaukee Mental Health Connections Clinic)
• Children's Service Society of Wisconsin
• Children's Service Society of Wisconsin
• Children's Specialty Group, Inc.
• Childrens Hospital of Wisconsin Inc
• Childrens Medical Group Inc
• Childrens Physician Group PC
• Childrens Society of Wisconsin
• Keona Childs, M.D.
• Adriannah D Chillis

• Pediatrics Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.