Individual provider Active NPI

Meredith Witten, M.D.

  • Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1629312467
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
69527 Issued in WI
Practice address
2801 W KK River Pkwy Ste 145
Milwaukee, WI 53215-3624
Phone
(414) 385-2301
NPI assigned
Nov 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 69527 WI Primary

Addresses

Primary practice location

2801 W KK River Pkwy Ste 145
Milwaukee, WI 53215-3624

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

945 N 12th St # 2110
Milwaukee, WI 53233
Phone (414) 219-6809

Other identifiers 1

IdentifierTypeStateIssuer
100080704MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mwitten204172@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170823001421 AL Practitioner - General Surgery 1153693338 Reassigns benefits to 1 organization
I20180820001043 WI Practitioner - General Surgery 1153693338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

950 N 12TH St
Milwaukee, WI 53233-1306
Phone (414) 219-7956

975 Port Washington Rd
Suite 320
Grafton, WI 53024-9201
Phone (262) 329-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69527WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 17, 2018 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2017 Accepting new patients
Aurora Advanced Healthcare, Inc. Surgery CurrentSince Sep 16, 2020 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Sep 16, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 17, 2018 Accepting new patients
Aurora Medical Group, Inc. PastSince Aug 25, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

975 Port Washington Rd
#320
Grafton, WI 53024
Phone (262) 329-8100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

945 N 12th St
#2110
Milwaukee, WI 53233
Phone (414) 219-6809

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

2801 W Kinnickinnic River Pkwy
Ste 145
Milwaukee, WI 53215
Phone (414) 385-2301

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": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1629312467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KK RIVER PKWY STE 145",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153624",
            "telephone_number": "414-385-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 N 12th St # 2110",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53233",
            "country_code": "US",
            "telephone_number": "414-219-6809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTEN",
        "first_name": "MEREDITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "69527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080704",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwitten204172@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "945 N 12th St # 2110",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "945 N 12th St # 2110",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.