Active NPI
Rosellen S. Choi, M.D.
- Pediatrics Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 66033
- Practice address
- 9000 W Wisconsin Ave
Department of Pediatrics
Milwaukee, WI 53226-4874 - Phone
- (414) 337-7050
- Fax
- (414) 337-7020
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-109641 | IL | |
| Pediatrics Physician | 208000000X | 66033 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Department of Pediatrics
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Department of Pediatrics
Milwaukee, WI 53226-4874
Phone (414) 337-7050
Other practice location 1
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-3380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036109641 | Medicaid | IL | |
| 1376537142 | Medicaid | WI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-109641 | IL | MD | Pediatrics Physician |
| 66033 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients |
Locations
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
Interoperability endpoints
- rchoi49974@direct.chw.org
Organizations & group practices 1
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1376537142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-337-7050",
"fax_number": "414-337-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-337-7050",
"fax_number": "414-337-7020"
}
],
"practiceLocations": [
{
"address_1": "3801 Spring St",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "WI",
"postal_code": "534051667",
"country_code": "US",
"telephone_number": "262-687-3380",
"fax_number": "262-687-5358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "ROSELLEN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-07",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-109641",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "66033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036109641",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376537142",
"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 Oct 23, 2018; 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.