Active NPI
Mequon Vascular Associates, S.C.
- Family Medicine Physician
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEQUON VASCULAR ASSOCIATES, S.C.
- Practice address
- 17280 W North Ave Ste 200
Brookfield, WI 53045-4366 - Phone
- (262) 240-9640
- Fax
- (262) 293-9659
- NPI assigned
- Jan 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey T Sabatino, DO
- Title
- Owner
- Phone
- (262) 240-9640
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
17280 W North Ave Ste 200
Brookfield, WI 53045-4366
Mailing address
17280 W North Ave Ste 200
Brookfield, WI 53045-4366
Phone (262) 240-9640
Other practice location 1
W189N11100 Kleinmann Dr Ste 105
Germantown, WI 53022-3809
Phone (262) 240-9640
Other names 1
- Mequon Vein & Laser Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2225056 | Mequon Vascular Associates, SC | Certificate of waiver | May 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
17000 W Bluemound Rd
Ste C
Brookfield, WI 53005
W189N11100 Kleinmann Dr
Ste 105
Germantown, WI 53022
Phone (262) 240-9640
W189N11100 Kleinmann Dr
Germantown, WI 53022
11725 N Port Washington Rd
Ste 250
Mequon, WI 53092
Phone (414) 207-4333
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Mequon, WI
- NPI 1265574719
-
- Physician Assistant
- Pewaukee, WI
- NPI 1275594103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1619485976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17280 W NORTH AVE STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454366",
"telephone_number": "262-240-9640",
"fax_number": "262-293-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17280 W NORTH AVE STE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454366",
"telephone_number": "262-240-9640",
"fax_number": "262-293-9659"
}
],
"practiceLocations": [
{
"address_1": "W189N11100 Kleinmann Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "WI",
"postal_code": "530223809",
"country_code": "US",
"telephone_number": "262-240-9640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEQUON VASCULAR ASSOCIATES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-19",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "SABATINO",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-240-9640",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mequon Vein & Laser Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.