Individual provider Active NPI

Peter Parthum, M.D., M.P.H.

  • Family Medicine Physician
  • Hales Corners, WI
National Provider Identifier
1518930288
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21198 Issued in WI
Practice address
10691 W Parnell Ave
Hales Corners, WI 53130-2024
Phone
(414) 427-7787
Fax
(414) 427-7797
NPI assigned
Feb 10, 2006
Last updated
Jul 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21198 WI Primary

Addresses

Primary practice location

10691 W Parnell Ave
Hales Corners, WI 53130-2024

Mailing address

S63W14899 Garden Ter
Muskego, WI 53150-8312
Phone (414) 422-1021

Other identifiers 1

IdentifierTypeStateIssuer
31899900MedicaidWI

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
I20100914000374 WI Practitioner - Family PracticePractitioner - Preventive Medicine 4981729035 Practice locations: Hales Corners, WI; Muskego, WI

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
Medical College of Wisconsin, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10691 W Parnell Ave
Hales Corners, WI 53130-2070
Phone (414) 427-7787

222 Park PL
Waukesha, WI 53186-4858
Phone (651) 631-6570

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1518930288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S63W14899 GARDEN TER",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508312",
            "telephone_number": "414-422-1021",
            "fax_number": "414-427-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 W PARNELL AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302024",
            "telephone_number": "414-427-7787",
            "fax_number": "414-427-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTHUM",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "21198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31899900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, WI

Sources for this page

Verify at the official NPI Registry.