NPIMap

Individual provider Active NPI

Paul J Warren, MD

  • Nephrology Physician
  • Milwaukee, WI
National Provider Identifier
1487646477
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
30363 Issued in WI
Practice address
3120 South 27TH Street
Milwaukee, WI 53215
Phone
(414) 672-8282
Fax
(414) 672-8282
NPI assigned
Aug 17, 2005
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 30636 WI
Nephrology Physician 207RN0300X 30363 WI Primary

Addresses

Primary practice location

3120 South 27TH Street
Milwaukee, WI 53215

Mailing address

335 Mahn Court
Oak Creek, WI 53154
Phone (414) 762-2020

Other identifiers 1

IdentifierTypeStateIssuer
31989700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000957 WI Practitioner - Nephrology 6507980885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Midwest Nephrology Associates SCGroup PAC ID 8527045236, 30 clinicians

Practice addresses (Care Compare)

248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000

3120 S 27TH St
Milwaukee, WI 53215-4338
Phone (414) 762-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30363WIMDNephrology Physician
30636WIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jul 17, 2010 Accepting new patients
Aurora Medical Group, Inc. Family Medicine Current Accepting new patients
Midwest Nephrology Associates, SC CurrentSince Sep 30, 1995 Accepting new patients
Midwest Nephrology Associates, S.C. Nephrology CurrentSince Sep 30, 1995 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 17, 2010 Accepting new patients

Locations

248 McHenry St
Burlington, WI 53105
Phone (262) 767-8000

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

146 E Geneva Sq
Lake Geneva, WI 53147
Phone (262) 249-4678

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3120 S 27th St
Milwaukee, WI 53215
Phone (414) 672-8282

3120 S 27th St
Uppr
Milwaukee, WI 53215

7793 W Appleton Ave
Milwaukee, WI 53222
Phone (414) 393-9810

335 E Mahn Ct
Oak Creek, WI 53154
Phone (414) 762-2020

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

2424 S 90th St
Ste 310
West Allis, WI 53227
Phone (414) 328-8700

Interoperability endpoints

  • Direct secure messaging: pwarren11998@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1487646477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAHN COURT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-762-2020",
            "fax_number": "414-762-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SOUTH 27TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "414-672-8282",
            "fax_number": "414-672-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "30636",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WI",
            "license": "30363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31989700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.