Individual provider Active NPI

Tracy M Geiger, MD

  • Family Medicine Physician
  • Brookfield, WI
National Provider Identifier
1255456653
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52008 Issued in WI
Practice address
15430 W Capitol Dr Ste 100
Brookfield, WI 53005-2626
Phone
(262) 421-5133
Fax
(262) 735-0723
NPI assigned
Mar 21, 2007
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52008 WI Primary

Addresses

Primary practice location

15430 W Capitol Dr Ste 100
Brookfield, WI 53005-2626

Mailing address

15430 W Capitol Dr Ste 100
Brookfield, WI 53005-2626
Phone (262) 421-5133

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
I20101115001187 WI Practitioner - Family Practice 5496940595 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52008WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geiger Medical, LLC CurrentSince Aug 7, 2016 Accepting new patients
Lily Hospice LLC Family Medicine PastSince Nov 3, 2022 Accepting new patients
Lily Home and Hospice Family Medicine Past Accepting new patients

Locations

15430 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 235-3115

15430 W Capitol Dr
Ste 200
Brookfield, WI 53005

W63N545 Hanover Ave
Cedarburg, WI 53012
Phone (262) 421-5133

Interoperability endpoints

  • Direct secure messaging: tgeigermd@cedarmedgroup.kareodirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lily Hospice LLCBrookfield, WI, CCN 521615 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (90%)
Feb 1, 2022
Feb 1, 2022
Lily Home and HospiceEau Claire, WI, CCN 521621 Hospice 5% Or Greater Indirect Ownership Interest (100%)
Corporate Officer (80%)
Operational/Managerial Control (100%)
Jun 25, 2023
Jun 25, 2023
Jun 25, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1255456653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 W CAPITOL DR STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052626",
            "telephone_number": "262-421-5133",
            "fax_number": "262-735-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 W CAPITOL DR STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052626",
            "telephone_number": "262-421-5133",
            "fax_number": "262-735-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "52008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.