Individual provider Active NPI

Gregory A Felsheim, MD

  • Anesthesiology Physician
  • Milwaukee, WI
National Provider Identifier
1427098474
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27617020 Issued in WI
Practice address
945 N 12TH St
Suite 3858
Milwaukee, WI 53233-1305
Phone
(414) 219-2000
Fax
(414) 219-2000
NPI assigned
Jun 7, 2006
Last updated
Jan 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 27617020 WI Primary

Addresses

Primary practice location

945 N 12TH St
Suite 3858
Milwaukee, WI 53233-1305

Mailing address

945 N 12TH St
Suite 3858
Milwaukee, WI 53233-1305
Phone (414) 219-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27617020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Anesthesia, SC Anesthesiology CurrentSince Nov 30, 2018 Accepting new patients
Brookfield Anesthesiologists, S.C. Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
Chad Novasic PT LTD Past Accepting new patients

Locations

225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026

7401 104th Ave
Kenosha, WI 53142
Phone (262) 697-1006

Bin 88773
Milwaukee, WI 53288

10200 W Innovation Dr
Wauwatosa, WI 53226
Phone (414) 302-9196

10200 W Innovation Dr
Ste 700
Wauwatosa, WI 53226
Phone (414) 302-9196

2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1427098474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "SUITE 3858",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-2000",
            "fax_number": "414-219-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "address_2": "SUITE 3858",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-2000",
            "fax_number": "414-219-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELSHEIM",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "27617020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.