Individual provider Active NPI

David M Letzer, MD

  • Infectious Disease Physician
  • Brookfield, WI
National Provider Identifier
1255382529
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
30311-021 Issued in WI
Practice address
150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858
Phone
(262) 786-4550
Fax
(262) 786-4552
NPI assigned
May 12, 2006
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 30311-021 WI Primary

Addresses

Primary practice location

150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858

Mailing address

150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858
Phone (262) 786-4550

Other practice location 1

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 831-1841

Other identifiers 2

IdentifierTypeStateIssuer
440002430OtherWIRAILROAD MEDICARE
30049800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000572 WI Practitioner - Infectious Disease 5294637278 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Michigan State University College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Specialists of SE Wi, SCGroup PAC ID 5890697874, 13 clinicians
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

150 S Sunny Slope Rd
Suite 136
Brookfield, WI 53005-4858
Phone (262) 786-4550

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

201 N Mayfair Rd
Milwaukee, WI 53226-4216
Phone (414) 259-7200

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-7700

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051-4002
Phone (262) 255-2500

W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30311-021WIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 19, 2011 Accepting new patients
Infectious Disease Specialists of SE Wi, SC Infectious Disease CurrentSince Dec 1, 1998 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 20, 2025 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 20, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Mar 19, 2011 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

150 S Sunny Slope Rd
Ste 136
Brookfield, WI 53005
Phone (262) 641-6089

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • Direct secure messaging: dletzer9818@direct.phci.org
  • Direct secure messaging: dletzerdo6319@direct.froedtert.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1255382529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD STE 136",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054858",
            "telephone_number": "262-786-4550",
            "fax_number": "262-786-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD STE 136",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054858",
            "telephone_number": "262-786-4550",
            "fax_number": "262-786-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-831-1841",
            "fax_number": "920-831-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETZER",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "30311-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "440002430",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30049800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.