Individual provider Active NPI

Daniel Christian Rice Ratzlaff, MD

  • Family Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1366020760
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61167274 Issued in WA
Practice address
3056 S Kinnickinnic Ave
Milwaukee, WI 53207-2583
Phone
(414) 769-4900
Fax
(414) 769-4910
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 MD61167274 WA Primary
Family Medicine Physician 207Q00000X 86401-20 WI

Addresses

Primary practice location

3056 S Kinnickinnic Ave
Milwaukee, WI 53207-2583

Mailing address

3056 S Kinnickinnic Ave
Milwaukee, WI 53207-2583
Phone (414) 769-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230320001384 WA Practitioner - Family Practice 2769856426 Reassigns benefits to 2 organizations
I20251002002211 WI Practitioner - Family Practice 2769856426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3056 S Kinnickinnic Ave
Milwaukee, WI 53207-2583
Phone (414) 769-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61167274WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Dec 10, 2022 Accepting new patients
King County Public Hospital District No. 2 Family Medicine Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Sep 1, 2025 Accepting new patients
King County Public Hospital District No 2 Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Aug 1, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Dec 10, 2022 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Family Medicine Past Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

1920 100th St SE
Ste B
Everett, WA 98208
Phone (425) 312-0202

18151 68th Ave NE
Ste 100
Kenmore, WA 98028
Phone (425) 485-6561

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

9710 State Ave
Marysville, WA 98270
Phone (360) 653-1742

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

3056 S Kinnickinnic Ave
Milwaukee, WI 53207
Phone (414) 769-4900

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 10

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 4

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1366020760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 S KINNICKINNIC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072583",
            "telephone_number": "414-769-4900",
            "fax_number": "414-769-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 S KINNICKINNIC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072583",
            "telephone_number": "414-769-4900",
            "fax_number": "414-769-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "DANIEL",
        "middle_name": "CHRISTIAN RICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61167274",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "86401-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.