Active NPI
Ryan Neil Hatchell, MD
- Pediatrics Physician
- Brookfield, WI
National Provider Identifier
1275708398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 53771
- Practice address
- 13950 W Capitol Dr
Suite 200
Brookfield, WI 53005-2441 - Phone
- (262) 781-3065
- Fax
- (262) 781-3835
- NPI assigned
- Apr 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 53771 | WI | Primary |
Addresses
Primary practice location
13950 W Capitol Dr
Suite 200
Brookfield, WI 53005-2441
Mailing address
13950 W Capitol Dr
Suite 200
Brookfield, WI 53005-2441
Phone (262) 781-3065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275708398 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53771 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Medical Group | Pediatrics | Past | Accepting new patients |
| Childrens Hospital of Wisconsin, Inc. | Pediatrics | Past | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients |
Interoperability endpoints
- rhatchell7360@direct.chw.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Glendale, WI
- NPI 1134394471
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1245308626
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1275708398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13950 W CAPITOL DR",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052441",
"telephone_number": "262-781-3065",
"fax_number": "262-781-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13950 W CAPITOL DR",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052441",
"telephone_number": "262-781-3065",
"fax_number": "262-781-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHELL",
"first_name": "RYAN",
"middle_name": "NEIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "53771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275708398",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.