Individual provider Active NPI

Jeffrey T Sabatino, D.O.

  • Family Medicine Physician
  • Brookfield, WI
National Provider Identifier
1336227834
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38986-21 Issued in WI
Practice address
17280 W North Ave Ste 200
Brookfield, WI 53045-4366
Phone
(262) 240-9640
Fax
(262) 293-9659
NPI assigned
Nov 1, 2006
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38986-21 WI Primary
Phlebology Physician 202K00000X 38986-21 WI

Addresses

Primary practice location

17280 W North Ave Ste 200
Brookfield, WI 53045-4366

Mailing address

17280 W North Ave Ste 200
Brookfield, WI 53045-4366
Phone (262) 240-9640

Other practice location 1

W189N11100 Kleinmann Dr Ste 105
Germantown, WI 53022-3809
Phone (262) 240-9640

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000709 WI Practitioner - Family Practice 0547256323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Osteopathy, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17280 W N Ave
Suite 200
Brookfield, WI 53045-4366
Phone (262) 240-9640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38986-21WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mequon Vascular Associates, S.C. Phlebology CurrentSince Feb 18, 2026 Accepting new patients

Locations

17000 W Bluemound Rd
Ste C
Brookfield, WI 53005

17280 W North Ave
Ste 200
Brookfield, WI 53045
Phone (262) 240-9640

W189N11100 Kleinmann Dr
Germantown, WI 53022

W189N11100 Kleinmann Dr
Ste 105
Germantown, WI 53022
Phone (262) 240-9640

11725 N Port Washington Rd
Ste 250
Mequon, WI 53092
Phone (414) 207-4333

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1336227834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-240-9640",
            "fax_number": "262-293-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-240-9640",
            "fax_number": "262-293-9659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W189N11100 Kleinmann Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "WI",
            "postal_code": "530223809",
            "country_code": "US",
            "telephone_number": "262-240-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABATINO",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38986-21",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "WI",
            "license": "38986-21",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.