Active NPI
Robert L Huxley, MD
- Cardiovascular Disease Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21728
- Practice address
- 3056 S Kinnickinnic Ave
Suite 300
Milwaukee, WI 53207-2583 - Phone
- (414) 294-0971
- Fax
- (414) 294-0980
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21728 | WI | Primary |
Addresses
Primary practice location
3056 S Kinnickinnic Ave
Suite 300
Milwaukee, WI 53207-2583
Mailing address
4425 N Port Washington Rd
Attn: Csmcp Clinic Credentialing
Glendale, WI 53212-1082
Phone (414) 294-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30614700 | Medicaid | WI |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21728 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Heart Care Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
7395 Solutions Ctr
Chicago, IL 60677
N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800
4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218
6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100
13133 N Port Washington Rd
Mequon, WI 53097
Phone (262) 243-5850
2315 N Lake Dr
Ste 613
Milwaukee, WI 53211
Phone (414) 271-1633
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
3056 S Kinnickinnic Ave
Ste 300
Milwaukee, WI 53207
Phone (414) 294-0971
1317 W Grand Ave
Prt Washingtn, WI 53074
Phone (262) 268-6998
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 5
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.
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- Multi-Specialty Clinic/Center
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- NPI 1710928221
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
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- Clinical Cardiac Electrophysiology Physician
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- NPI 1942277587
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1669412425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 N PORT WASHINGTON RD",
"address_2": "ATTN: CSMCP CLINIC CREDENTIALING",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121082",
"telephone_number": "414-294-0971",
"fax_number": "414-294-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3056 S KINNICKINNIC AVE",
"address_2": "SUITE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532072583",
"telephone_number": "414-294-0971",
"fax_number": "414-294-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUXLEY",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "21728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30614700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.