Individual provider Active NPI

Ben R Mahalko, D.C.

  • Chiropractor
  • Germantown, WI
National Provider Identifier
1447205943
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4170-012 Issued in WI
Practice address
N112W15237 Mequon Rd
Suite 200
Germantown, WI 53022-3451
Phone
(262) 255-7515
Fax
(262) 255-7513
NPI assigned
May 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4170-012 WI Primary

Addresses

Primary practice location

N112W15237 Mequon Rd
Suite 200
Germantown, WI 53022-3451

Mailing address

N112W15237 Mequon Rd
Suite 200
Germantown, WI 53022-3451
Phone (262) 255-7515

Other identifiers 1

IdentifierTypeStateIssuer
38964400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000062 WI Practitioner - Chiropractic 8325056468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N112W15237 Mequon Rd
Suite 200
Germantown, WI 53022-3466
Phone (262) 255-7515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4170-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mahalko Family Chiropractic LLC Chiropractor CurrentSince Jun 19, 2006 Accepting new patients

Locations

N112W15237 Mequon Rd
Ste 200
Germantown, WI 53022
Phone (262) 255-7515

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, 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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447205943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W15237 MEQUON RD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223451",
            "telephone_number": "262-255-7515",
            "fax_number": "262-255-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W15237 MEQUON RD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223451",
            "telephone_number": "262-255-7515",
            "fax_number": "262-255-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALKO",
        "first_name": "BEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4170-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38964400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.