Active NPI
Rosemarie M Brueggeman, MD
- Ophthalmology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 44926
- Practice address
- 2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215 - Phone
- (414) 385-1277
- Fax
- (414) 385-8730
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 44926 | WI | Primary |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215
Mailing address
2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215-3669
Phone (414) 385-1277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34249800 | Medicaid | WI |
Other names 1
- Rosemarie M Mendivil
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1249 W Liebau Rd
Suite 102
Mequon, WI 53092-3397
Phone (414) 928-2020
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7373
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 928-2020
4300 W Layton Ave
Suite 100
Greenfield, WI 53220-4136
Phone (414) 928-2020
8375 S Howell Ave
Suite 204
Oak Creek, WI 53154-8344
Phone (414) 928-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.71 of 100
- Quality
- 83.61
- Improvement activities
- 40
- Cost
- 70.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44926 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physician Associates, S.C. | Ophthalmology | Current | Accepting new patients |
| Eye Physician Associates, S.C. | Ophthalmology | Current | Accepting new patients |
| Dr K F Nassif & Associates SC | Ophthalmology | Past | Accepting new patients |
Locations
1249 W Liebau Rd
Ste 102
Mequon, WI 53092
Phone (414) 481-8828
4300 W Layton Ave
#100
Milwaukee, WI 53220
Phone (414) 260-0789
2801 W Kinnickinnic River Pkwy
Ste 170
Milwaukee, WI 53215
Phone (414) 385-1277
8375 S Howell Ave
Ste 204
Oak Creek, WI 53154
Phone (414) 928-2020
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
10625 W North Ave
Ste 200
Wauwatosa, WI 53226
Phone (414) 258-6880
Interoperability endpoints
- roseb@epasc1966.srs-direct.com
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.
-
- Ophthalmology Physician
- Milwaukee, WI
- NPI 1457331894
-
- Ophthalmology Physician
- Mequon, WI
- NPI 1427347822
-
- Ophthalmology Physician
- Wauwatosa, WI
- NPI 1881677284
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1306825674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY",
"address_2": "STE 170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153669",
"telephone_number": "414-385-1277",
"fax_number": "414-385-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY",
"address_2": "STE 170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53215",
"telephone_number": "414-385-1277",
"fax_number": "414-385-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUEGGEMAN",
"first_name": "ROSEMARIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "44926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34249800",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSEMARIE",
"last_name": "MENDIVIL",
"middle_name": "M",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 14, 2011; 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.