Individual provider Active NPI

Mitchell H Pincus, MD

  • Radiation Oncology Physician
  • Milwaukee, WI
National Provider Identifier
1265479760
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
29163 Issued in WI
Practice address
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone
(414) 649-6420
Fax
(414) 649-5309
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X DR.0056171 CO
Radiation Oncology Physician 2085R0001X 29163 WI Primary

Addresses

Primary practice location

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330

Mailing address

11516 N Port Washington Rd
Ste 202
Mequon, WI 53092-3441
Phone (262) 241-5040

Other practice location 1

11750 W 2nd Pl Ste 150
Lakewood, CO 80228-1724
Phone (720) 321-8800

Other identifiers 1

IdentifierTypeStateIssuer
31393200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MA, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040719000195 WI Practitioner - Radiation Oncology 6204737109 Reassigns benefits to 1 organization
I20230404000833 MA Practitioner - Radiation Oncology 6204737109 Reassigns benefits to 1 organization
I20250225001301 CO Practitioner - Radiation Oncology 6204737109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of South Florida College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Radiation Oncology Associates LTDGroup PAC ID 7618924622, 23 clinicians

Practice addresses (Care Compare)

11750 W 2ND PL
Suite 150
Lakewood, CO 80228-1724
Phone (303) 430-2700

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 831-8900

2700 W 9TH Ave
Suite 11
Oshkosh, WI 54904-7863
Phone (920) 831-8900

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-4160

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6420

5300 Memorial Dr
Two Rivers, WI 54241-3923
Phone (920) 793-7349

6811 118TH Ave
Kenosha, WI 53142-8420
Phone (262) 857-5700

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 456-7900

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-6460

Hospital & facility affiliations

  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • Aurora Baycare Medical Ctr Hospital, Green Bay, WI, CCN 520193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29163WIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jan 29, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Mercy Medical Group, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jan 29, 2025 Accepting new patients
Radiation Oncology Associates, LTD Radiation Oncology CurrentSince Feb 1, 2005 Accepting new patients
Springfield Radiation Oncology Radiation Oncology Past Accepting new patients
The Mercy Hospital Inc Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11750 W 2nd Pl
Ste 150
Lakewood, CO 80228
Phone (303) 763-4020

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

175 Carew St
Ste 150
Springfield, MA 01104
Phone (413) 452-6570

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

11516 N Port Washington Rd
Ste 107
Mequon, WI 53092
Phone (262) 241-5040

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3809 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-5000

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

Organizations & group practices 7

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

Hospital & facility affiliations 8

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1265479760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 N PORT WASHINGTON RD",
            "address_2": "STE 202",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923441",
            "telephone_number": "262-241-5040",
            "fax_number": "262-241-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154330",
            "telephone_number": "414-649-6420",
            "fax_number": "414-649-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 W 2nd Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281724",
            "country_code": "US",
            "telephone_number": "720-321-8800",
            "fax_number": "720-321-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCUS",
        "first_name": "MITCHELL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "DR.0056171",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "29163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31393200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.