Active NPI
Greg Heal, M.D.
- Obstetrics & Gynecology Physician
- Waukesha, WI
National Provider Identifier
1609802776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 31554
- Practice address
- N4W22370 Bluemound Road
Suite 100
Waukesha, WI 53186 - Phone
- (262) 547-0199
- Fax
- (262) 547-0399
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 31554 | WI | Primary |
Addresses
Primary practice location
N4W22370 Bluemound Road
Suite 100
Waukesha, WI 53186
Mailing address
N4W22370 Bluemound Road
Suite 100
Waukesha, WI 53186
Phone (262) 547-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31938700 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050120000007 | WI | Practitioner - Obstetrics/Gynecology | 0345299004 | Practice locations: Delafield, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Wisconsin, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Genesee St
Suite 3E
Delafield, WI 53018-1877
Phone (262) 547-0199
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31554 | WI | MD | Obstetrics & Gynecology Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1609802776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4W22370 BLUEMOUND ROAD",
"address_2": "SUITE 100",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53186",
"telephone_number": "262-547-0199",
"fax_number": "262-547-0399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N4W22370 BLUEMOUND ROAD",
"address_2": "SUITE 100",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53186",
"telephone_number": "262-547-0199",
"fax_number": "262-547-0399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAL",
"first_name": "GREG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "31554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31938700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
- Kathleen Haury
- Sara Denise Hawkins
- Christina Hawthorn, CPM, IBCLC
- Shaye Hayden
- Melissa Jo Hazelwood, MS, LAT
- Health Center Pharmacy of Menomonee Falls (Health Center Pharmacy-West)
- Healthstat Onsite Clinic- Waukesa
- Hearing Center, Inc.
- Heartland-Pewauke of Waukesha Wi LLC (ManorCare Health Services-Pewaukee)
- Michelle Kathryn Heaton, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.