Active NPI
Rita Marie Hanson, MD
- Internal Medicine Physician
- Brookfield, WI
National Provider Identifier
1629135306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20894
- Practice address
- 13950 W Capitol Dr
Brookfield, WI 53005-2441 - Phone
- (414) 302-5404
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20894 | WI | Primary |
Addresses
Primary practice location
13950 W Capitol Dr
Brookfield, WI 53005-2441
Mailing address
13950 W Capitol Dr
Brookfield, WI 53005-2441
Phone (414) 302-5404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30266500 | Medicaid | WI | |
| 3908168571A4 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Rita M Melzer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20894 | WI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1629135306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13950 W CAPITOL DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052441",
"telephone_number": "414-302-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13950 W CAPITOL DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530052441",
"telephone_number": "414-302-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "RITA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "20894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30266500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3908168571A4",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RITA",
"last_name": "MELZER",
"middle_name": "M",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.