Active NPI
Gina Buono, MD
- Hospitalist Physician
- Cudahy, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 40440-20
- Practice address
- 5900 S Lake Dr
Cudahy, WI 53110-3171 - Phone
- (414) 489-9000
- NPI assigned
- Mar 20, 2006
- Last updated
- Jun 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 40440-20 | WI | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 40440-20 | WI |
Addresses
Primary practice location
5900 S Lake Dr
Cudahy, WI 53110-3171
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
4131 W Loomis Rd
#110
Greenfield, WI 53221-2006
Phone (414) 281-5153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34721900 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gbuono61116@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40440-20 | WI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary's Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary's Hospital Milwaukee Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Past | Accepting new patients |
Locations
5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
4131 W Loomis Rd
Ste 110
Milwaukee, WI 53221
Phone (414) 281-3509
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
2000 E Layton Ave
Ste 140
St Francis, WI 53235
Phone (414) 769-8009
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
Interoperability endpoints
- gbuono61116@direct.myadvocateaurora.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1467411546",
"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": "5900 S LAKE DR",
"city": "CUDAHY",
"state": "WI",
"postal_code": "531103171",
"telephone_number": "414-489-9000"
}
],
"practiceLocations": [
{
"address_1": "4131 W Loomis Rd",
"address_2": "#110",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "WI",
"postal_code": "532212006",
"country_code": "US",
"telephone_number": "414-281-5153",
"fax_number": "414-281-9122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUONO",
"first_name": "GINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "40440-20",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "WI",
"license": "40440-20",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34721900",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gbuono61116@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5900 S Lake Dr",
"city": "Cudahy",
"state": "WI",
"country_code": "US",
"postal_code": "531103171",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2",
"affiliation": "N",
"address_1": "5900 S Lake Dr",
"city": "Cudahy",
"state": "WI",
"country_code": "US",
"postal_code": "531103171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cudahy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.