Organization Active NPI

Barbara a Hummel, MD SC

  • Family Medicine Physician
  • Greenfield, WI
National Provider Identifier
1669693461
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30414 Issued in WI
Legal business name
BARBARA A HUMMEL, MD SC
Practice address
4811 S 76TH St Ste 201
Greenfield, WI 53220-4364
Phone
(414) 604-0520
Fax
(414) 604-0525
NPI assigned
May 1, 2007
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Barbara Ann Hummel, M.D.NPI 1972519361
Title
Owner - Ceo
Phone
(414) 604-0520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30414 WI Primary

Addresses

Primary practice location

4811 S 76TH St Ste 201
Greenfield, WI 53220-4364

Mailing address

4811 S 76TH St Ste 201
Greenfield, WI 53220-4364
Phone (414) 604-0520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070516000462 WI Part B Supplier - Clinic/Group Practice 3173424355 Receives reassigned benefits from 1 practitioner
Practice locations: Greenfield, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0930715Barbara Hummel, MD4811 South 76TH Street, Suite 201, Greenfield, WI 53220Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

4811 S 76th St
Ste 201
Milwaukee, WI 53220
Phone (414) 604-0520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1669693461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST STE 201",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-604-0520",
            "fax_number": "414-604-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S 76TH ST STE 201",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "414-604-0520",
            "fax_number": "414-604-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA A HUMMEL, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER - CEO",
        "authorized_official_telephone_number": "414-604-0520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "30414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.