Individual provider Active NPI

Aloys Louis Tauscheck Jr., M.D.,J.D.

  • Dermatology Physician
  • Sheboygan, WI
National Provider Identifier
1497769855
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
23885-020 Issued in WI
Practice address
1414 N Taylor Dr
Suite 144
Sheboygan, WI 53081-1988
Phone
(920) 457-3376
Fax
(920) 458-6510
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 23885-020 WI Primary

Addresses

Primary practice location

1414 N Taylor Dr
Suite 144
Sheboygan, WI 53081-1988

Mailing address

1414 N Taylor Dr
Suite 144
Sheboygan, WI 53081-1988
Phone (920) 457-3376

Other identifiers 2

IdentifierTypeStateIssuer
32893900MedicaidWI
000060275OtherWIPTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000807 WI Practitioner - Dermatology 1254372600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Wisconsin School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3427 Superior Ave
Sheboygan, WI 53081-1863
Phone 9204573376305

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision112
Removal of skin lesions49
Removal of skin cancer1-10
Removal or shaving of skin growth17
Skin biopsy42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23885-020WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Skin Specialists, S.C. Dermatology CurrentSince Jan 1, 2001 Accepting new patients
Holy Family Memorial Inc Past Accepting new patients
Lakeshore Radiology Associates SC Past Accepting new patients

Locations

3427 Superior Ave
Sheboygan, WI 53081
Phone (920) 457-3376

1414 N Taylor Dr
Ste 144
Sheboygan, WI 53081
Phone (920) 457-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1497769855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR",
            "address_2": "SUITE 144",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811988",
            "telephone_number": "920-457-3376",
            "fax_number": "920-458-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N TAYLOR DR",
            "address_2": "SUITE 144",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811988",
            "telephone_number": "920-457-3376",
            "fax_number": "920-458-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUSCHECK",
        "first_name": "ALOYS",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.,J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "23885-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32893900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000060275",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.