Individual provider Active NPI

Jason G Szpak, PA

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1467657478
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2125023 Issued in WI
Practice address
2323 N Mayfair Rd
Suite 310
Milwaukee, WI 53226-1506
Phone
(414) 384-6700
Fax
(414) 727-1058
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2125023 WI Primary

Addresses

Primary practice location

2323 N Mayfair Rd
Suite 310
Milwaukee, WI 53226-1506

Mailing address

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

Other identifiers 1

IdentifierTypeStateIssuer
41944700MedicaidWI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000720 WI Practitioner - Physician Assistant 6103917919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Surgeons of Wisconsin SCGroup PAC ID 5294727152, 61 clinicians
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 384-6700

3077 N Mayfair Rd
Wauwatosa, WI 53222-4305
Phone (414) 384-6700

3111 W Rawson Ave
Suite 200
Franklin, WI 53132-8890
Phone (414) 384-6700

7095 S Ballpark Dr
Suite 100
Franklin, WI 53132-6908
Phone (414) 817-6620

Hospital & facility affiliations

  • Midwest Orthopedic Specialty Hospital Hospital, Franklin, WI, CCN 520205

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
73.65
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2125023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Apr 1, 2021 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Apr 1, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Physician Assistant CurrentSince Jul 1, 2011 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727

9969 S 27th St
Ste 1100
Franklin, WI 53132

2500 W Layton Ave
Ste 160
Milwaukee, WI 53221
Phone (414) 389-3023

3237 S 16th St
Ste 210
Milwaukee, WI 53215
Phone (414) 643-4020

10180 Washington Ave
Ste 200
Mount Pleasant, WI 53177
Phone (262) 687-6000

3077 N Mayfair Rd
Ste 100
Wauwatosa, WI 53222
Phone (414) 771-5900

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

3077 N Mayfair Rd
Ste 305
Wauwatosa, WI 53222
Phone (414) 258-3500

Interoperability endpoints

  • Direct secure messaging: jason.szpak.1@32957.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1467657478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 N MAYFAIR RD STE 305",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224305",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N MAYFAIR RD",
            "address_2": "SUITE 310",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261506",
            "telephone_number": "414-384-6700",
            "fax_number": "414-727-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZPAK",
        "first_name": "JASON",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2125023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41944700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.