Active NPI
Thomas R. Jensen, M.D.
- Family Medicine Physician
- Franklin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25148
- Practice address
- 10101 S 27TH St
Franklin, WI 53132-7209 - Phone
- (414) 325-4940
- NPI assigned
- Jul 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25148 | WI | Primary |
Addresses
Primary practice location
10101 S 27TH St
Franklin, WI 53132-7209
Mailing address
10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00449580 | Other | WI | RR MEDICARE |
| 30931600 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Family Medicine | Current | Accepting new patients |
| Med 97 LLC | Past | Accepting new patients | |
| Advanced Healthcare SC | Family Medicine | Past | Accepting new patients |
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3821 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8460
7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Interoperability endpoints
- tjensenmd245838@direct.froedtert.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Family Medicine
-
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
- NPI 1306959218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1548292436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 S 27TH ST",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531327209",
"telephone_number": "414-325-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 S 27TH ST",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531327209",
"telephone_number": "414-325-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "THOMAS",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "25148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00449580",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30931600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.