James C Gariti, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

46635020 Issued in WI

Practice address

245 S Executive Dr
Suite 350
Brookfield, WI 53005-4204

Phone

(262) 373-1647

Fax

(262) 373-1650

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  • Chicago, IL
  • NPI 1386904621
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1457562944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD",
            "address_2": "SUITE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151050",
            "telephone_number": "630-725-2832",
            "fax_number": "877-489-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S EXECUTIVE DR",
            "address_2": "SUITE 350",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054204",
            "telephone_number": "262-373-1647",
            "fax_number": "262-373-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARITI",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "46635020",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WI",
            "license": "46635-020",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "WI",
            "license": "46635-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036121623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "789510",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "000068227",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MECICARE RAILROAD INDIVIDUAL PTAN",
            "identifier": "P01658759",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "789511",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP PTAN",
            "identifier": "DE2420",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Galusha
• Lisa R Gamble, OTR
• Molly A Gannon, SLP
• Mary L. Ganz, D.O.
• Ashley Garcia
• Amanda Gaska, DPT
• Samantha Gates, BCBA
• Benjamin Gauthier
• Allie Gavin, LCSW
• Mary Parish Gavinski, MD

• General Practice Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.