Active NPI
Peter Parthum, M.D., M.P.H.
- Family Medicine Physician
- Hales Corners, WI
National Provider Identifier
1518930288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21198
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31899900 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000374 | WI | Practitioner - Family Practice | 4981729035 | Practice locations: Hales Corners, WI; Muskego, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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.
-
dba Avalon Square
- Rehabilitation Clinic/Center
- Waukesha, WI
- NPI 1336845551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.