Active NPI
Mitchell H Pincus, MD
- Radiation Oncology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 29163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31393200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Centura Health-St Anthony Hospital
- Aurora Medical Center Kenosha
- Aurora Baycare Medical Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29163 | WI | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Mercy Medical Group, Inc. | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Radiation Oncology Associates, LTD | Radiation Oncology | Current | 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.
-
- Radiation Oncology Physician
- Milwaukee, WI
- NPI 1932154754
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1316213143
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lakewood, CO
- NPI 1578105011
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Radiation Oncology Physician
- Springfield, MA
- NPI 1659379956
-
- Psychiatric Hospital
- Holyoke, MA
- NPI 1629062906
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.