Organization Active NPI

Patrick a. Krzyzewski, D.P.M.

  • Customized Equipment (DME)
  • Milwaukee, WI
National Provider Identifier
1407159692
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
477-25 Issued in WI
Legal business name
PATRICK A. KRZYZEWSKI, D.P.M.
Practice address
7635 W Oklahoma Ave
Suite 110
Milwaukee, WI 53219-3600
Phone
(414) 546-3100
Fax
(414) 546-1881
NPI assigned
Dec 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Patrick Albert Krzyzewski, D.P.M.
Title
Ceo
Phone
(414) 546-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 477-25 WI Primary
Prosthetic/Orthotic Supplier 335E00000X 477-25 WI

Addresses

Primary practice location

7635 W Oklahoma Ave
Suite 110
Milwaukee, WI 53219-3600

Mailing address

7635 W Oklahoma Ave
Suite 110
Milwaukee, WI 53219-3600
Phone (414) 546-3100

Other identifiers 2

IdentifierTypeStateIssuer
1053496067OtherNPI-PRACTITIONER
30016800MedicaidWI

National Provider Directory

National Provider Directory

Locations

7635 W Oklahoma Ave
Ste 110
Milwaukee, WI 53219
Phone (414) 546-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12744/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407159692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 W OKLAHOMA AVE",
            "address_2": "SUITE 110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193600",
            "telephone_number": "414-546-3100",
            "fax_number": "414-546-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 W OKLAHOMA AVE",
            "address_2": "SUITE 110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193600",
            "telephone_number": "414-546-3100",
            "fax_number": "414-546-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK A. KRZYZEWSKI, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KRZYZEWSKI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-546-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WI",
            "license": "477-25",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WI",
            "license": "477-25",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-PRACTITIONER",
            "identifier": "1053496067",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016800",
            "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.