Individual provider Active NPI

Chad F Tamez, MD

  • Family Medicine Physician
  • West Bend, WI
National Provider Identifier
1548342371
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45927020 Issued in WI
Practice address
140 E Water St Ste 1
West Bend, WI 53095-3414
Phone
(262) 355-8010
Fax
(262) 355-8011
NPI assigned
Oct 20, 2006
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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 45927020 WI Primary

Addresses

Primary practice location

140 E Water St Ste 1
West Bend, WI 53095-3414

Mailing address

140 E Water St Ste 1
West Bend, WI 53095-3414
Phone (262) 355-8010

Other identifiers 1

IdentifierTypeStateIssuer
4207OtherINTERNAL ID-MOTOR VEHICLE ID

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
I20040702001187 WI Practitioner - Family PracticePractitioner - Emergency Medicine 7517944853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

W178N9201 Water Tower PL
Suite 200
Menomonee Falls, WI 53051-8029
Phone (262) 355-8010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45927020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC CurrentSince Oct 1, 2017 Accepting new patients
Independent Physicians of Wisconsin, LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

W178N9201 Water Tower Pl
Ste 200
Menomonee Falls, WI 53051
Phone (262) 214-6754

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

140 E Water St
Ste 1
West Bend, WI 53095
Phone (262) 355-8010

140 E Water St
West Bend, WI 53095
Phone (262) 305-8834

Interoperability endpoints

  • Direct secure messaging: chad.tamez.1@18758.direct.athenahealth.com
  • Direct secure messaging: ctamezmd232854@direct.froedtert.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1548342371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E WATER ST STE 1",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953414",
            "telephone_number": "262-355-8010",
            "fax_number": "262-355-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E WATER ST STE 1",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953414",
            "telephone_number": "262-355-8010",
            "fax_number": "262-355-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMEZ",
        "first_name": "CHAD",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "45927020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "4207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.