Individual provider Active NPI

Robert Schellinger, MD

  • Family Medicine Physician
  • Waukesha, WI
National Provider Identifier
1558433409
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38115 Issued in WI
Practice address
717 W Moreland Blvd
Prohealth Care Medical Associates Moreland Family Medic
Waukesha, WI 53188-2432
Phone
(262) 542-9100
Fax
(262) 542-7366
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 38115 WI Primary

Addresses

Primary practice location

717 W Moreland Blvd
Prohealth Care Medical Associates Moreland Family Medic
Waukesha, WI 53188-2432

Mailing address

717 W Moreland Blvd
Prohealth Care Medical Associates Moreland Family Medic
Waukesha, WI 53188-2432
Phone (262) 542-9100

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
I20101019000892 WI Practitioner - Family Practice 4486730447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38115WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moreland Family Medicine Associates, S.C. Current Accepting new patients

Locations

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

717 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 542-9100

Interoperability endpoints

  • Direct secure messaging: rschellinger10795@direct.phci.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1558433409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W MORELAND BLVD",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882432",
            "telephone_number": "262-542-9100",
            "fax_number": "262-542-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W MORELAND BLVD",
            "address_2": "PROHEALTH CARE MEDICAL ASSOCIATES MORELAND FAMILY MEDIC",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882432",
            "telephone_number": "262-542-9100",
            "fax_number": "262-542-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHELLINGER",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "38115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.