NPIMap

Individual provider Active NPI

Roger Ven Torres, M.D.

  • Internal Medicine Physician
  • New Berlin, WI
National Provider Identifier
1326091117
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35653-020 Issued in WI
Practice address
12555 W National Ave
#201
New Berlin, WI 53151-4061
Phone
(262) 754-8005
Fax
(262) 754-8003
NPI assigned
May 19, 2006
Last updated
Apr 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35653-020 WI Primary

Addresses

Primary practice location

12555 W National Ave
#201
New Berlin, WI 53151-4061

Mailing address

12555 W National Ave
#201
New Berlin, WI 53151-4061
Phone (262) 754-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000671 WI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0143215731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

12555 W National Ave
Suite 201
New Berlin, WI 53151-4061
Phone (262) 754-8005

7740 S Lovers Lane Rd
Suite 410
Franklin, WI 53132-2211
Phone (419) 221-6717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35653-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Allis Primary Care Physicians, S.C. Internal Medicine CurrentSince Jan 26, 1998 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

12555 W National Ave
Ste 201
New Berlin, WI 53151
Phone (262) 754-8005

Organizations & group practices 2

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

Hospital & facility affiliations 11

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1326091117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 W NATIONAL AVE",
            "address_2": "#201",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514061",
            "telephone_number": "262-754-8005",
            "fax_number": "262-754-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W NATIONAL AVE",
            "address_2": "#201",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514061",
            "telephone_number": "262-754-8005",
            "fax_number": "262-754-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "ROGER",
        "middle_name": "VEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "35653-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.