Organization Active NPI

Commonheart, Inc.

Doing business as Commonheart Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Waukesha, WI
National Provider Identifier
1417834565
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
COMMONHEART, INC.
Doing business as
Commonheart Palliative Care
Practice address
N16W23217 Stone Ridge Dr Ste 350
Waukesha, WI 53188-1171
Phone
(844) 206-4930
Fax
(920) 261-7327
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Justin Munzel
Title
President
Phone
(920) 328-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

N16W23217 Stone Ridge Dr Ste 350
Waukesha, WI 53188-1171

Mailing address

1045 Hill St
Watertown, WI 53098-3015
Phone (844) 206-4930

Other names 1

  • Commonheart Palliative Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonheart Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

N16W23217 Stone Ridge Dr
Ste 350
Waukesha, WI 53188
Phone (844) 206-4930

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1417834565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 HILL ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983015",
            "telephone_number": "844-206-4930",
            "fax_number": "920-261-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N16W23217 STONE RIDGE DR STE 350",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881171",
            "telephone_number": "844-206-4930",
            "fax_number": "920-261-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONHEART, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "MUNZEL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-328-1029"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonheart Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.