Active NPI
Vahag Vartanian, M.D.
- Psychiatry Physician
- Racine, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 62181
- Practice address
- 1320 Wisconsin Ave
Racine, WI 53403-1978 - Phone
- (262) 687-2222
- Fax
- (262) 687-2495
- NPI assigned
- Apr 5, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 62181 | WI | Primary |
Addresses
Primary practice location
1320 Wisconsin Ave
Racine, WI 53403-1978
Mailing address
1320 Wisconsin Ave
Racine, WI 53403-1978
Phone (262) 687-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578525580 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5069
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62181 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension St Francis Hospital, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Ascension St Francis Hospital, Inc | Current | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
3267 S 16th St
Ste 200
Milwaukee, WI 53215
Phone (414) 389-3111
1320 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2222
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 3
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.
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
dba Ascension St Francis Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
dba Ascension St Francis Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1710775408
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1578525580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 WISCONSIN AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534031978",
"telephone_number": "262-687-2222",
"fax_number": "262-687-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 WISCONSIN AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534031978",
"telephone_number": "262-687-2222",
"fax_number": "262-687-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARTANIAN",
"first_name": "VAHAG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "62181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578525580",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
- US Medgroup PA (Advanced Medical Specialists)
- Laura Van Schyndel, OTR/L
- Jeffrey M Vanbendegom, M.D.
- Maimee Vang, OTR/L
- Reena Elizabeth Varghese, R.PH
- Ticy Varughese, PHARMACIST
- Laurie Ventela, LPC
- Villa at Lincoln Park, LLC (The Villa at Lincoln Park)
- Renate A Villarreal, PA-C
- Vision Clinic Dr. Savin & Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.