Individual provider Active NPI

Daniel Patrick Cibich, MD

  • Diagnostic Radiology Physician
  • Waukesha, WI
National Provider Identifier
1578190856
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
77451-20 Issued in WI
Practice address
725 American Ave
Waukesha, WI 53188-5099
Phone
(262) 928-1000
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 77451-20 WI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

725 American Ave
Waukesha, WI 53188-5099

Mailing address

15460 W Capitol Dr Ste 250
Brookfield, WI 53005-2632
Phone (414) 940-0278

Other practice location 1

1111 Delafield St Ste 100
Waukesha, WI 53188-3407
Phone (262) 928-4300

Other practice location 2

1625 Coldwater Creek Dr
Waukesha, WI 53188-8028
Phone (262) 521-8800

Other practice location 3

125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-4210

Other practice location 4

240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 363-1901

Other practice location 5

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-4575

Other practice location 6

791 Summit Ave
Oconomowoc, WI 53066-3896
Phone (262) 569-9400

Other practice location 7

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0909

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
I20260203002422 WI Practitioner - Diagnostic Radiology 2961980644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians
Radiology Waukesha SCGroup PAC ID 3274520648, 29 clinicians

Practice addresses (Care Compare)

1111 Delafield St
Suite 112
Waukesha, WI 53188-3402
Phone (262) 542-9212

725 American Ave
Waukesha, WI 53188-5031
Phone (262) 928-2400

Hospital & facility affiliations

  • Watertown Memorial Hospital Hospital, Watertown, WI, CCN 520116
  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Oconomowoc Memorial Hospital Hospital, Oconomowoc, WI, CCN 520062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77451-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Waukesha S.C. Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Prohealth Medical Group Inc CurrentSince Jan 13, 2026 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Jan 13, 2026 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900

791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

1625 Coldwater Creek Dr
Waukesha, WI 53188
Phone (262) 521-8800

N16W24131 Riverwood Dr
Waukesha, WI 53188
Phone (262) 696-0696

1111 Delafield St
Ste 112
Waukesha, WI 53188
Phone (262) 542-9173

1111 Delafield St
Ste 100
Waukesha, WI 53188
Phone (262) 928-4300

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Organizations & group practices 4

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.

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1578190856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15460 W CAPITOL DR STE 250",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052632",
            "telephone_number": "414-940-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885099",
            "telephone_number": "262-928-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Delafield St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531883407",
            "country_code": "US",
            "telephone_number": "262-928-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Coldwater Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531888028",
            "country_code": "US",
            "telephone_number": "262-521-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983303",
            "country_code": "US",
            "telephone_number": "920-261-4210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Mukwonago",
            "state": "WI",
            "postal_code": "531498475",
            "country_code": "US",
            "telephone_number": "262-363-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8701 W Watertown Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263548",
            "country_code": "US",
            "telephone_number": "414-955-4575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530663896",
            "country_code": "US",
            "telephone_number": "262-569-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N16W24131 Riverwood Dr",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881106",
            "country_code": "US",
            "telephone_number": "262-696-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIBICH",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "77451-20",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.