Active NPI
Robert Jaquiss, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 42459
- Practice address
- 9000 W Wisconsin Ave
Milwaukee, WI 53226-4874 - Phone
- (414) 266-2000
- NPI assigned
- Sep 27, 2006
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 42459 | WI | |
| Pediatric Surgery Physician | 2086S0120X | E-4664 | AR | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | R1549 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2010-01391 | NC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | E-4664 | AR | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 42459 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-2380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158664001 | Medicaid | AR | |
| 1356432553 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-4664 | AR | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| R1549 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 42459 | WI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Children's Specialty Group, Inc. | Pediatrics | Past | Accepting new patients |
| University of Arkansas for Medical Sciences | Past | Accepting new patients |
Locations
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
7609 Preston Rd
Plano, TX 75024
Phone (214) 456-2444
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Interoperability endpoints
- rjaquiss859958@direct.froedtert.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1942970405
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
dba Ut Southwestern Cardiovascular & Thoracic Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Austin, TX
- NPI 1871729376
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1356432553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-2380",
"fax_number": "414-266-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAQUISS",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "42459",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "AR",
"license": "E-4664",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "R1549",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "2010-01391",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AR",
"license": "E-4664",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WI",
"license": "42459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158664001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356432553",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 1, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.