Active NPI
Itamar Yaakov Gnatt, M.D
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- 70439
- Practice address
- 945 N 12TH St
Milwaukee, WI 53233-1305 - Phone
- (414) 219-2000
- NPI assigned
- Mar 27, 2017
- Last updated
- Oct 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 70439-20 | WI | |
| Family Medicine Physician | 207Q00000X | 26680 | NV | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 70439 | WI | Primary |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 26680 | NV |
Addresses
Primary practice location
945 N 12TH St
Milwaukee, WI 53233-1305
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10005229 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Undersea and Hyperbaric Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5900 S Lake Dr
Cudahy, WI 53110-3171
Phone (414) 489-4190
945 N 12TH St
Milwaukee, WI 53233-1305
Phone (414) 219-7300
975 Port Washington Rd
Suite 110
Grafton, WI 53024-9201
Phone (262) 329-8000
Hospital & facility affiliations
- Saguaro Home Health Care
- Executive Care Home Health
- Aurora St Lukes Medical Center
- Mountainview Hospital
- West Allis Memorial Hospital
- Aurora Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 305 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70439-20 | WI | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| 26680 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Naz Wahab MD PC | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Reliant Physicians (Kumar) PLLC | Family Medicine | Past | Accepting new patients |
Locations
102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622
2851 N Tenaya Way
Ste 101
Las Vegas, NV 89128
Phone (702) 309-4878
5110 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 352-9260
6070 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 307-7700
821 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 438-4003
8425 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 202-2060
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
975 Port Washington Rd
#110
Grafton, WI 53024
Phone (262) 329-8000
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Interoperability endpoints
- ignatt188068@direct.myadvocateaurora.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Anthem Medical Associates
- Family Medicine Physician
- Las Vegas, NV
- NPI 1568514198
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
dba Reliant Palliative Care
- Hospitalist Physician
- Las Vegas, NV
- NPI 1093285462
Family Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
-
dba Aurora West Allis Medical Center
- Clinic/Center
- West Allis, WI
- NPI 1235345695
Hospital
-
dba Aurora West Allis Medical Center
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
-
dba Executive Care Home Health
- Home Health Agency
- Las Vegas, NV
- NPI 1124577127
-
- Home Health Agency
- Las Vegas, NV
- NPI 1134215916
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1447781992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N 12TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331305",
"telephone_number": "414-219-2000"
}
],
"practiceLocations": [
{
"address_1": "6070 S Fort Apache Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891485615",
"country_code": "US",
"telephone_number": "702-803-5534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GNATT",
"first_name": "ITAMAR",
"middle_name": "YAAKOV",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "WI",
"license": "70439-20",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "26680",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "WI",
"license": "70439",
"primary": true
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "NV",
"license": "26680",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10005229",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
- GN Hearing Care Corporation (Beltone Electronics)
- Gregory J. Gnadt, M.D.
- Joan T Gnadt, M.D.
- Xenayshma Zhayleene Gnas-Pacheco
- Janice A Gnas, MS.MBA.LPC.NCC.BCC
- Brittney Gniedziejko, AUD
- Rita Gnyawali, M.D.
- Go 365 Transportation Services, LLC
- God Sent Adult Family Home
- God's Wheel Transportations Corp. (Godswheel)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.