NPIMap

Organization Active NPI

Metro Milwaukee Anesthesia Associates SC

  • Certified Registered Nurse Anesthetist
  • Brookfield, WI
National Provider Identifier
1609130228
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
METRO MILWAUKEE ANESTHESIA ASSOCIATES SC
Practice address
17495 W Capitol Dr
Brookfield, WI 53045-2059
Phone
(847) 691-9080
Fax
(224) 255-5813
NPI assigned
Jun 28, 2012
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Daniel Borvan, CRNANPI 1962404442
Title
Owner
Phone
(815) 370-1933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

17495 W Capitol Dr
Brookfield, WI 53045-2059

Mailing address

21120 Washington Pkwy
Frankfort, IL 60423-3112
Phone (815) 462-8470

Other practice location 1

921 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (847) 691-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140814000066 WI Part B Supplier - Clinic/Group Practice 3577780683 Receives reassigned benefits from 23 practitioners
Practice locations: Lake Geneva, WI; New Berlin, WI

National Provider Directory

National Provider Directory

Locations

15324 W Beloit Rd
Ste 300A
New Berlin, WI 53151
Phone (414) 761-0981

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1609130228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21120 WASHINGTON PKWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233112",
            "telephone_number": "815-462-8470",
            "fax_number": "815-462-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17495 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452059",
            "telephone_number": "847-691-9080",
            "fax_number": "224-255-5813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Sherwood Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "600442203",
            "country_code": "US",
            "telephone_number": "847-691-9080",
            "fax_number": "224-255-5813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "METRO MILWAUKEE ANESTHESIA ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "BORVAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-370-1933",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.