NPIMap

Organization Active NPI

Rheumatic Disease Center

  • Rheumatology Physician
  • Glendale, WI
National Provider Identifier
1609812544
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
RHEUMATIC DISEASE CENTER
Practice address
7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone
(414) 351-4009
Fax
(414) 351-7060
NPI assigned
Jun 21, 2006
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Jonathan Kushi, MDNPI 1073692901
Title
Physician
Phone
(414) 351-4009

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
Rheumatology Physician 207RR0500X Primary

Addresses

Primary practice location

7080 N Port Washington Rd
Glendale, WI 53217-3879

Mailing address

7080 N Port Washington Rd
Glendale, WI 53217-3879
Phone (414) 351-4009

Other practice location 1

2500 W Layton Ave Ste 250
Milwaukee, WI 53221-5400
Phone (414) 351-4009

Other identifiers 2

IdentifierTypeStateIssuer
DA0039OtherWIMEDICARE RAILROAD
137195900OtherDEPT OF LABOR-OWCP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000691 WI Part B Supplier - Clinic/Group Practice 0840210852 Receives reassigned benefits from 12 practitioners
Practice locations: Glendale, WI; Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

7080 N Port Washington Rd
#2500W
Glendale, WI 53217

7080 N Port Washington Rd
Ste 250
Glendale, WI 53217

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GADIAA

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1609812544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 N PORT WASHINGTON RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173879",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Layton Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532215400",
            "country_code": "US",
            "telephone_number": "414-351-4009",
            "fax_number": "414-351-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RHEUMATIC DISEASE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "KUSHI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "414-351-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA0039",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR-OWCP",
            "identifier": "137195900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.