Emmanouil Alimpertis, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Marinette, WI
NPI 1366827768 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1366827768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 74083 (WI)
- Practice address
- 3003 University Dr
Marinette, WI 54143-4110 - Phone
- (715) 735-4200
- NPI assigned
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-6621
Hospital & facility affiliations
- Bristol Hospice Green Bay
- Unity Hospice
- Aurora Medical Center Bay Area
- Aurora Baycare Medical Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210609000438 | WI | Practitioner - Hematology/Oncology |
7517274145 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74083 | WI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
Interoperability endpoints
- ealimpertis306115@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301107355 | MI | |
| Hematology & Oncology Physician | 207RH0003X | 74083 | WI | Yes |
Addresses
Primary practice location
3003 University Dr
Marinette, WI 54143-4110
Mailing address
3003 University Dr
Marinette, WI 54143-4110
Phone (715) 735-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100167399 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ealimpertis306115@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Marinette, WI
- Amjed Yousef Abu Muhanna
- Danielle Adams
- Advanced Physical Therapy & Sports Medicine SC
- Thea J Aguon
- Siddhanth Ahluwalia
- American Lutheran Church-Northland Luthern Services for the Elderly, I
- Amy L Anderson
- Carrie Anderson
- Hayward Anderson
- Lisa Anderson
All providers in Marinette, WI · Hematology & Oncology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.