Active NPI
Neal Howard Pollack, D.O.
- Neurology Physician
- Wauwatosa, WI
National Provider Identifier
1497833719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 19841
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391257949019 | Other | WI | BLUE CROSS & BLUE SHEID |
| 30033300 | Medicaid | WI |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Health Fund | Current | Accepting new patients | |
| Neurology and Pain Treatment, LTD. | Neurology | Current | 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.
-
- Neurology Physician
- Wauwatosa, WI
- NPI 1982803102
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1497768659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.