James Robert Vavra, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

696 Issued in WI

Practice address

2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591

Phone

(262) 542-3779

Fax

(262) 542-4428

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot and Ankle Associates of Wi LTDGroup PAC ID 3779500442, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Waukesha Memorial Hospital Hospital, Waukesha, WI, CCN 520008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvavra9571@direct.phci.org

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.

• Foot and Ankle Associates of Wi LTD

  • Primary Podiatric Medicine Podiatrist
  • Pewaukee, WI
  • NPI 1063534030

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD

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

• Prohealth Waukesha Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Waukesha, WI
  • NPI 1629056890
  Care Compare affiliation

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1619969391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 300",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725591",
            "telephone_number": "262-542-3779",
            "fax_number": "262-542-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 300",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725591",
            "telephone_number": "262-542-3779",
            "fax_number": "262-542-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVRA",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43219700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transform Diet and Wellness Center, LLC
• Valdez & Soto, LLC (Alay Health Team)
• Andrew Marshall Valiquette, MD
• Andrea Vanderveldt, MPT
• Lindie Vandevoorde, LAC
• Tyler Veldkamp
• Thomas Blake Viehe, M.D.
• Sierra A Villegas
• Virtis Health, LLC
• Visiting Angels

• Foot & Ankle Surgery Podiatrist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Foot & Ankle Surgery Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.
• 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.

Verify at the official NPI Registry.