Individual provider Active NPI

Steven J. Donatello, M.D.

  • Interventional Pain Medicine Physician
  • Glendale, WI
National Provider Identifier
1619950375
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
37794-020 Issued in WI
Practice address
525 W River Woods Pkwy Ste 130
Glendale, WI 53212-1010
Phone
(414) 249-2420
Fax
(414) 961-0298
NPI assigned
Nov 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 37794-020 WI Primary

Addresses

Primary practice location

525 W River Woods Pkwy Ste 130
Glendale, WI 53212-1010

Mailing address

525 W River Woods Pkwy Ste 130
Glendale, WI 53212-1010
Phone (414) 961-0304

Other identifiers 1

IdentifierTypeStateIssuer
32256600MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000049 WI Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8921091489 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Wisconsin School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Bone and Joint S CGroup PAC ID 9234107749, 21 clinicians
Pain Management and Treatment Center, S.C.Group PAC ID 2062315419, 5 clinicians

Practice addresses (Care Compare)

525 W River Woods Pkwy
Suite 130
Glendale, WI 53212-1010
Phone (414) 961-0304

8901 N 76TH St
Milwaukee, WI 53223-1901
Phone (414) 354-0772

Hospital & facility affiliations

  • Orthopaedic Hospital of Wisconsin Hospital, Glendale, WI, CCN 520194
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • 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
37794-020WIMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee Inc Interventional Pain Medicine CurrentSince Jun 28, 2010 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jun 26, 2018 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc. Current Accepting new patients
Wisconsin Bone & Joint S C CurrentSince Dec 30, 2020 Accepting new patients
Pain Management & Treatment Center, S.C. CurrentSince Apr 1, 2023 Accepting new patients
Wisconsin Bone & Joint S C CurrentSince Dec 30, 2020 Accepting new patients
CSM Community Physician CurrentSince Jun 28, 2010 Accepting new patients

Locations

7410 Solutions Ctr
Chicago, IL 60677

525 W River Woods Pkwy
Ste 130
Glendale, WI 53212
Phone (414) 961-0304

575 W River Woods Pkwy
Ste 205
Glendale, WI 53212
Phone (414) 962-6700

6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

13133 N Port Washington Rd
Ste 116
Mequon, WI 53097
Phone (262) 243-3700

8901 N 76th St
Milwaukee, WI 53223
Phone (414) 354-0772

9252 N Green Bay Rd
Fl 2
Milwaukee, WI 53209
Phone (414) 270-8150

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

2500 N Mayfair Rd
Ste 550
Wauwatosa, WI 53226
Phone (414) 257-2525

2500 N Mayfair Rd
Ste 500
Wauwatosa, WI 53226
Phone (414) 257-1772

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 7

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 5

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": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1619950375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 130",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-961-0304",
            "fax_number": "414-961-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W RIVER WOODS PKWY STE 130",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121010",
            "telephone_number": "414-249-2420",
            "fax_number": "414-961-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLO",
        "first_name": "STEVEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-26",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "37794-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32256600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

Verify at the official NPI Registry.