Active NPI
James V Lustig, MD
- Allergy & Immunology Physician
- Milwaukee, WI
National Provider Identifier
1497708127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 46743
- Practice address
- 9000 W Wisconsin Ave
Allergy and Immunology
Milwaukee, WI 53226-4874 - Phone
- (414) 266-6840
- Fax
- (414) 266-6437
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 46743 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Allergy and Immunology
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Allergy and Immunology
Milwaukee, WI 53226-4874
Phone (414) 266-6840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029906261Z | Other | HUMANA | |
| 1497708127 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Past | Accepting new patients | |
| Promedica Central Physicians | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1497708127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "ALLERGY AND IMMUNOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-6840",
"fax_number": "414-266-6437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "ALLERGY AND IMMUNOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-6840",
"fax_number": "414-266-6437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSTIG",
"first_name": "JAMES",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "WI",
"license": "46743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "029906261Z",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497708127",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.