Active NPI
Stephen Goth, M.D.
- Diagnostic Radiology Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 61631
- Practice address
- W231N1440 Corporate CT
Waukesha, WI 53186-1503 - Phone
- (262) 896-6000
- NPI assigned
- Jul 5, 2012
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036-149255 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 61631 | WI | Primary |
Addresses
Primary practice location
W231N1440 Corporate CT
Waukesha, WI 53186-1503
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285999334 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
2000 E Layton Ave
Saint Francis, WI 53235-6053
Phone (414) 744-6589
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
652 S Loomis St
Naperville, IL 60540-6612
Phone (906) 786-5707
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-149255 | IL | MD | Diagnostic Radiology Physician |
| 61631 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Radiological Associates, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Cira Michigan PC | Diagnostic Radiology | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Organizations & group practices 10
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.
-
dba Central Illinois Radiological Associates
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Paul Medical Center
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
dba OSF Healthcare St. Francis Hospital & Medical Group
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1285999334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W231N1440 CORPORATE CT",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861503",
"telephone_number": "262-896-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTH",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-05",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-149255",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "61631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285999334",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "W231N1440 Corporate Ct",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531861503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.