Individual provider Active NPI

Robert J Remington, MD

  • Family Medicine Physician
  • Howards Grove, WI
National Provider Identifier
1346357688
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40230 Issued in WI
Practice address
620 S Wisconsin Dr
Howards Grove, WI 53083-1263
Phone
(920) 565-4595
Fax
(920) 565-4598
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40230 WI Primary

Addresses

Primary practice location

620 S Wisconsin Dr
Howards Grove, WI 53083-1263

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (920) 565-4595

Other identifiers 1

IdentifierTypeStateIssuer
32483300MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rremington45040@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20051109000142 WI Practitioner - Family Practice 5496773327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Progressive Beginnings, LLCGroup PAC ID 7012189848, 19 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1125 N 13TH St
Sheboygan, WI 53081-3281
Phone (920) 803-1617

1813 Ashland Ave
Sheboygan, WI 53081-6125
Phone (920) 458-4010

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

313 S Main St
Cedar Grove, WI 53013-1611
Phone (920) 668-8502

620 S Wisconsin Dr
Howards Grove, WI 53083-1263
Phone (920) 565-4595

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40230WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Aug 25, 2003 Accepting new patients
Aurora Medical Group, Inc. Family Medicine CurrentSince Aug 25, 2003 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1001 Service Rd
Kiel, WI 53042
Phone (920) 894-2636

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

620 S Wisconsin Dr
Sheboygan, WI 53083
Phone (920) 565-4595

Interoperability endpoints

  • Direct secure messaging: rremington45040@direct.myadvocateaurora.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1346357688",
    "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",
            "telephone_number": "920-565-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831263",
            "telephone_number": "920-565-4595",
            "fax_number": "920-565-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMINGTON",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "40230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32483300",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rremington45040@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "620 S Wisconsin Dr",
            "city": "Howards Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530831263",
            "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": "620 S Wisconsin Dr",
            "city": "Howards Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530831263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Howards Grove, WI

Sources for this page

Verify at the official NPI Registry.