Active NPI
Daniel Patrick Cibich, MD
- Diagnostic Radiology Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 77451-20
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77451-20 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Waukesha S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Prohealth Medical Group Inc. | Current | 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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Diagnostic Radiology Physician
- Waukesha, WI
- NPI 1730175258
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1760523559
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
-
- General Acute Care Hospital
- Watertown, WI
- NPI 1992776041
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.