NPIMap

Individual provider Active NPI

Gregory Spielbauer, MD

  • Internal Medicine Physician
  • Brookfield, WI
National Provider Identifier
1609843663
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41867 Issued in WI
Practice address
17000 W North Ave
Suite 200E
Brookfield, WI 53005-4423
Phone
(262) 782-4270
Fax
(262) 784-9319
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41867 WI Primary

Addresses

Primary practice location

17000 W North Ave
Suite 200E
Brookfield, WI 53005-4423

Mailing address

17000 W North Ave
Suite 200E
Brookfield, WI 53005-4423
Phone (262) 782-4270

Other identifiers 1

IdentifierTypeStateIssuer
32529700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001131 WI Practitioner - Internal Medicine 1850389248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

17000 W N Ave
Suite 104W
Brookfield, WI 53005-4423
Phone (262) 785-1500

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

  • Ascension at Home Home health agency, Milwaukee, WI, CCN 527187
  • Horizon Home Care and Hospice Home health agency, Milwaukee, WI, CCN 527083
  • St Croix Hospice Waukesha Hospice, Waukesha, WI, CCN 521596
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41867WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Elmbrook Internal Medicine Associates S.C. Current Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

17000 W North Ave
Ste 104W
Brookfield, WI 53005
Phone (262) 395-4141

17000 W North Ave
Ste 200E
Brookfield, WI 53005
Phone (262) 782-4270

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

17000 W North Ave
Brookfield, WI 53005
Phone (262) 754-2220

2205 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 782-3120

3821 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8460

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1609843663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 W NORTH AVE",
            "address_2": "SUITE 200E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054423",
            "telephone_number": "262-782-4270",
            "fax_number": "262-784-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 W NORTH AVE",
            "address_2": "SUITE 200E",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054423",
            "telephone_number": "262-782-4270",
            "fax_number": "262-784-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELBAUER",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "41867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32529700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.