Compassus Aah of Wisconsin V, LLC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

COMPASSUS AAH OF WISCONSIN V, LLC

Doing business as

Compassus - Milwaukee Metro

Practice address

2525 N 124TH St Ste 103
Brookfield, WI 53005-4613

Phone

(414) 455-9510

Fax

(844) 887-8728

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By 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

Russell Adkins

Title

SVP, Chief Legal Officer

Phone

(615) 309-5668

Specialties & licenses 3

Addresses

Other names 1

• Compassus - Milwaukee Metro Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Compassus Aah of Wisconsin V, LLC

  dba Compassus - Milwaukee Metro

  • Community Based Hospice Care Agency
  • Milwaukee, WI
  • NPI 1356958532

  O20240618002035

  Same enrollment

Tax ID family

Compassus - Milwaukee Metro2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Compassus Aah of Wisconsin V, LLC

  dba Compassus - Milwaukee Metro

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Brookfield, WI
  • NPI 1932949740
  NPD tax ID

Locations

Practitioners 1

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.

• O'Rell Ronald Williams, MD

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1972559755
  NPD

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1265113971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-637-9163",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N 124TH ST STE 103",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054613",
            "telephone_number": "414-455-9510",
            "fax_number": "844-887-8728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13200 Globe Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "531771615",
            "country_code": "US",
            "telephone_number": "262-456-3078",
            "fax_number": "844-887-8728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASSUS AAH OF WISCONSIN V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-309-5668"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Milwaukee Metro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hospice and Palliative Medicine (Family Medicine) Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.