NPIMap

Individual provider Active NPI

Robert B. Prehn, M.D.

  • Otolaryngology Physician
  • Neenah, WI
National Provider Identifier
1407859523
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
33668-20 Issued in WI
Practice address
119 E Bell St
Neenah, WI 54956-4993
Phone
(920) 969-1768
Fax
(920) 969-1788
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33668 WI
Otolaryngology Physician 207Y00000X 33668-20 WI Primary

Addresses

Primary practice location

119 E Bell St
Neenah, WI 54956-4993

Mailing address

119 E Bell St
# 200
Neenah, WI 54956-4993
Phone (920) 969-1768

Other identifiers 1

IdentifierTypeStateIssuer
32243800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000520 WI Practitioner - Otolaryngology 8325935430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Wisconsin School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists of Wisconsin SCGroup PAC ID 9830086925, 28 clinicians

Practice addresses (Care Compare)

119 E Bell St
Neenah, WI 54956-4993
Phone (920) 969-1768

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33668WIMDSpecialist
33668-20WIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Dec 1, 2018 Accepting new patients
Ear Nose and Throat Specialists of Wisconsin, SC Current Accepting new patients
Ear Nose and Throat Specialists of Wisconsin SC Otolaryngology CurrentSince Sep 1, 1999 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients

Locations

444 N Westhill Blvd
Appleton, WI 54914
Phone (920) 750-7000

191 Memorial Dr
Berlin, WI 54923
Phone (920) 223-5580

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

119 E Bell St
Neenah, WI 54956

119 E Bell St
#200
Neenah, WI 54956

515 S Washburn St
Ste 200
Oshkosh, WI 54904

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

515 S Washburn St
Oshkosh, WI 54904
Phone (920) 231-5900

855 N Westhaven Dr
#200
Oshkosh, WI 54904

Interoperability endpoints

  • Direct secure messaging: rprehn305009@direct.emplifyhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBAAA
  • Direct secure messaging: rprehn92956@direct.myadvocateaurora.org

Organizations & group practices 4

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 10

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1407859523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E BELL ST",
            "address_2": "# 200",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-969-1768",
            "fax_number": "920-969-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-969-1768",
            "fax_number": "920-969-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREHN",
        "first_name": "ROBERT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "33668",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "33668-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32243800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.