Individual provider Active NPI

Joseph Roel Reyes, DO

  • Pain Medicine (Anesthesiology) Physician
  • Greenfield, WI
National Provider Identifier
1528054947
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
68268-21 Issued in WI
Practice address
4448 W Loomis Rd Ste 300
Greenfield, WI 53220-4800
Phone
(414) 325-7246
Fax
(414) 325-3770
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 222707 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X DO1620 NV
Interventional Pain Medicine Physician 208VP0014X 222707 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 68268-21 WI Primary

Addresses

Primary practice location

4448 W Loomis Rd Ste 300
Greenfield, WI 53220-4800

Mailing address

4131 W Loomis Rd Ste 300
Greenfield, WI 53221-2059
Phone (414) 325-7246

Other practice location 1

9120 W Capitol Dr
Milwaukee, WI 53222-1622
Phone (414) 325-7246

Other practice location 2

801 S 70th St
Milwaukee, WI 53214-3147
Phone (414) 325-7246

Other practice location 3

1000 Gateway Ct
West Bend, WI 53095-8541
Phone (414) 325-7246

Other identifiers 1

IdentifierTypeStateIssuer
2083035MedicaidMA

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
I20180611002876 WI Practitioner - Pain Management 3173597879 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Physicians of Wisconsin SCGroup PAC ID 9537596341, 28 clinicians

Practice addresses (Care Compare)

2500 W Layton Ave
Suite 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246

Hospital & facility affiliations

  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
68268-21WIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Apr 22, 2018 Accepting new patients
Advanced Pain Management SC CurrentSince May 20, 2018 Accepting new patients
Advanced Pain Management, SC CurrentSince May 20, 2018 Accepting new patients
Waukesha Surgicenter, LLC CurrentSince Aug 1, 2023 Accepting new patients
Milwaukee Surgicenter LLC Interventional Pain Medicine CurrentSince Aug 1, 2023 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jan 7, 2021 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc Interventional Pain Medicine CurrentSince Apr 22, 2018 Accepting new patients
Madison Surgicenter LLC CurrentSince Aug 1, 2023 Accepting new patients
Advanced Pain Treatment of Chicago SC Interventional Pain Medicine PastSince Oct 1, 2020 Accepting new patients
Cap Anesthesia, PC Anesthesiology Past Accepting new patients
Capa Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

4202 W Oakwood Park Ct
Ste 110
Franklin, WI 53132
Phone 26229772461310

34 Schroeder Ct
Ste 110
Madison, WI 53711
Phone (608) 580-8252

34 Schroeder Ct
Ste 100
Madison, WI 53711
Phone (608) 288-7246

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

9120 W Capitol Dr
Milwaukee, WI 53222
Phone (414) 251-3500

2500 W Layton Ave
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5105

4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

813 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 544-1620

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

1000 Gateway Ct
West Bend, WI 53095

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528054947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212059",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 W LOOMIS RD STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204800",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9120 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532221622",
            "country_code": "US",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532143147",
            "country_code": "US",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Gateway Ct",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530958541",
            "country_code": "US",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOSEPH",
        "middle_name": "ROEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "222707",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "DO1620",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MA",
            "license": "222707",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "68268-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083035",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.