Active NPI
James Aceto, M.D.
- Diagnostic Radiology Physician
- Mequon, WI
National Provider Identifier
1609858158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 34102
- Practice address
- 10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078 - Phone
- (414) 434-0461
- NPI assigned
- Nov 18, 2005
- Last updated
- Feb 18, 2020
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34102 | WI | Primary |
Addresses
Primary practice location
10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Mailing address
10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34102 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Health Fund | Current | Accepting new patients | |
| Sacred Heart Rehabilitation Institute, Inc | Past | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
6200 W Bluemound Rd
Milwaukee, WI 53213
Phone (414) 479-3668
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1497768659
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Diagnostic Radiology
-
dba Ascension Sacred Heart Rehabilitation Hospital
- Physical Medicine & Rehabilitation Physician
- Milwaukee, WI
- NPI 1225075203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1609858158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10945 N PORT WASHINGTON RD STE 201",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10945 N PORT WASHINGTON RD STE 201",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925078",
"telephone_number": "414-434-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACETO",
"first_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "34102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.