Individual provider Active NPI

Neal Howard Pollack, D.O.

  • Neurology Physician
  • Wauwatosa, WI
National Provider Identifier
1497833719
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19841 Issued in WI
Practice address
2600 N Mayfair Rd Ste 1120
Wauwatosa, WI 53226-1308
Phone
(414) 453-7780
Fax
(414) 453-4296
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 19841 WI Primary

Addresses

Primary practice location

2600 N Mayfair Rd Ste 1120
Wauwatosa, WI 53226-1308

Mailing address

2600 N Mayfair Rd Ste 1120
Wauwatosa, WI 53226-1308
Phone (414) 453-7780

Other identifiers 2

IdentifierTypeStateIssuer
391257949019OtherWIBLUE CROSS & BLUE SHEID
30033300MedicaidWI

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
I20060313000026 WI Practitioner - Neurology 3173530490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Pain Treatment LTDGroup PAC ID 1456368778, 3 clinicians

Practice addresses (Care Compare)

2600 N Mayfair Rd
Suite 1120
Wauwatosa, WI 53226-1308
Phone (414) 453-7780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Health Fund CurrentSince Apr 17, 2008 Accepting new patients
Neurology and Pain Treatment, LTD. Neurology CurrentSince Jul 1, 1976 Accepting new patients

Locations

6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668

2600 N Mayfair Rd
Ste 1120
Wauwatosa, WI 53226
Phone (414) 453-7780

Organizations & group practices 2

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1497833719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 1120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261308",
            "telephone_number": "414-453-7780",
            "fax_number": "414-453-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 1120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261308",
            "telephone_number": "414-453-7780",
            "fax_number": "414-453-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "NEAL",
        "middle_name": "HOWARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "19841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHEID",
            "identifier": "391257949019",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30033300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.