Active NPI
Joseph Roel Reyes, DO
- Pain Medicine (Anesthesiology) Physician
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 68268-21
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2083035 | Medicaid | MA |
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
- Pain Management
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 W Layton Ave
Suite 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246
Hospital & facility affiliations
- Froedtert South Inc.
- Aurora St Lukes Medical Center
- Froedtert Memorial Lutheran Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68268-21 | WI | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Advanced Pain Management SC | Current | Accepting new patients | |
| Advanced Pain Management, SC | Current | Accepting new patients | |
| Waukesha Surgicenter, LLC | Current | Accepting new patients | |
| Milwaukee Surgicenter LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Interventional Pain Medicine | Current | Accepting new patients |
| Madison Surgicenter LLC | Current | Accepting new patients | |
| Advanced Pain Treatment of Chicago SC | Interventional Pain Medicine | Past | 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.
-
- Interventional Pain Medicine Physician
- Milwaukee, WI
- NPI 1679119689
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Ambulatory Surgical Clinic/Center
- Madison, WI
- NPI 1386387116
-
- Ambulatory Surgical Clinic/Center
- Franklin, WI
- NPI 1124612924
Interventional Pain Medicine
-
- Ambulatory Surgical Clinic/Center
- Waukesha, WI
- NPI 1164019485
-
- Pain Medicine Physician
- Greenfield, WI
- NPI 1770506669
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
Interventional Pain Medicine
-
- Psychiatric Hospital Unit
- Milwaukee, WI
- NPI 1811926132
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1669832655
-
- Interventional Pain Medicine Physician
- Munster, IN
- NPI 1942818109
-
- Anesthesiology Physician
- Weston, MA
- NPI 1497763213
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.