Michael Josef Slimack, D.O.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

51760 Issued in WI

Practice address

7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845

Phone

(262) 764-5595

Fax

(262) 764-9314

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

Arizona College of Osteopathic Medicine Mid Western University, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Comprehensive Orthopaedics SCGroup PAC ID 3375445497, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
• Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189

Merit-based Incentive Payment System (MIPS)

Final score

27.5 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

91.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: michael.slimack.p1@direct.comportho.nextgenshare.com
• Direct secure messaging: mslimack347667@direct.froedtert.com

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.

• Comprehensive Orthopaedics SC

  • Orthopaedic Surgery Physician
  • Kenosha, WI
  • NPI 1295717445
  Medicare reassignment Care Compare group NPD
• Comprehensive Orthopaedics SC

  dba Comprehensive Orthopaedics Advanced Imaging and Rehab Center

  • Physical Therapy Clinic/Center
  • Kenosha, WI
  • NPI 1194611939
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aurora Health Care Southern Lakes, Inc.

  • General Acute Care Hospital
  • Kenosha, WI
  • NPI 1225156888
  Care Compare affiliation
• Froedtert South, Inc.

  • General Acute Care Hospital
  • Pleasant Prairie, WI
  • NPI 1003831132
  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1356558464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 104TH AVE",
            "address_2": "SUITE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427845",
            "telephone_number": "262-764-5595",
            "fax_number": "262-764-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 104TH AVE",
            "address_2": "SUITE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427845",
            "telephone_number": "262-764-5595",
            "fax_number": "262-764-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIMACK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEF",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "58000956",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "WI",
            "license": "51760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37580900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel R Skavdahl, DPT
• Naomi Skinner, DPT
• Marc Skurski, R.PH. MBA
• Victor Stephen Slana, MD
• Anna M Slawny, M.S.
• Nyssa Slimack, APNP
• Chad E Sloden, D.C
• Emily A Slominski, LCSW
• Alec Samuel Small, DO
• Dennis Smerko, CPO, LPO

• Adult Reconstructive Orthopaedic Surgery Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.

Verify at the official NPI Registry.