Active NPI
Michael Tyler Babbitt, M.D.
- Diagnostic Radiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 69413
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226 - Phone
- (414) 805-3750
- Fax
- (414) 259-9290
- NPI assigned
- Jun 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 036.143566 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 69413 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-3750
Other practice location 1
1740 W Taylor St # 2483
Chicago, IL 60612-7232
Phone (312) 996-8143
Other practice location 2
1740 W Taylor St # 2483
Chicago, IL 60612-7232
Phone (312) 996-8143
Other practice location 3
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000
Other practice location 4
7901 S 6th St
Oak Creek, WI 53154-2010
Phone (414) 346-8000
Other practice location 5
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
Other practice location 6
1905 N Calhoun Rd
Brookfield, WI 53005-5036
Phone (262) 754-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447697396 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300
Hospital & facility affiliations
- Froedtert South Inc.
- Froedtert Memorial Lutheran Hospital
- Aurora Medical Center Kenosha
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.143566 | IL | MD | Body Imaging Physician |
| 69413 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert South, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients |
Locations
1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
3400 Market Ln
Kenosha, WI 53144
Phone (262) 551-4600
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
10256 Old Green Bay Rd
Pleasant Prairie, WI 53158
Phone (262) 551-4200
9697 Saint Catherines Dr
Pleasant Prairie, WI 53158
Phone (262) 577-8141
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- tbabbittmd253603@direct.froedtert.com
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.
-
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1447697396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-3750",
"fax_number": "414-259-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-805-3750",
"fax_number": "414-259-9290"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St # 2483",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-996-8143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1740 W Taylor St # 2483",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-996-8143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Lansdowne Ave",
"address_purpose": "LOCATION",
"city": "Darby",
"state": "PA",
"postal_code": "190231200",
"country_code": "US",
"telephone_number": "610-237-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 S 6th St",
"address_purpose": "LOCATION",
"city": "Oak Creek",
"state": "WI",
"postal_code": "531542010",
"country_code": "US",
"telephone_number": "414-346-8000",
"fax_number": "414-346-8010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4805 S Moorland Rd",
"address_purpose": "LOCATION",
"city": "New Berlin",
"state": "WI",
"postal_code": "531517401",
"country_code": "US",
"telephone_number": "262-798-7200",
"fax_number": "262-798-7271",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 N Calhoun Rd",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055036",
"country_code": "US",
"telephone_number": "262-754-8000",
"fax_number": "262-780-3396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABBITT",
"first_name": "MICHAEL",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-02",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IL",
"license": "036.143566",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "69413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447697396",
"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 Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.