Oak Medical SC
Organization Active NPI Internal Medicine Physician · Waukesha, WI
NPI 1669910345 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1669910345
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- OAK MEDICAL SC
- Practice address
- N20W22961 Watertown Rd
Waukesha, WI 53186-1308 - Phone
- (262) 875-5070
- Fax
- (866) 384-9486
- NPI assigned
- Feb 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Mahtab Sidhu, M.D.
- Title
- Medical Director
- Phone
- (262) 875-5070
Owned or controlled facilities with NPI records 6
Practitioners 204
-
Saima T Akbar, M.D
-
Stephanie Antes, APNP
-
Mohit Arora, M.D.
-
Kirsten Bates, RN, FNP-BC
-
Nabeel M. Beg, M.D.
-
Tara Leigh Benson, APNP
-
Nahdika A. Berry, FNP-C
-
Rebecca Joy Bland, APNP
-
Mikayla Lynn Boettner, APNP
-
Dana Diane Broyles, APNP
-
Caroline Cibulka, PA-C
-
Puneet S Dhillon, M.D.
-
Julie Driscoll, NP
-
Robert A Fasano, MD
-
Jolene Sara Josphine Finger, APNP ANCC-FNP
-
Traci A Freiberg, APNP
-
Riley Fugiasco, FNP-BC
-
Kavisha D Gandhi, MD
-
Pradeep Giriyappa, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Maplewood Center |
Skilled nursing facility | Adp of the SNF | Apr 8, 2025 |
| Brown County Community Treatment Center - Bayshore Village |
Skilled nursing facility | Adp of the SNF | Oct 29, 2022 |
| Holton Manor |
Skilled nursing facility | Adp of the SNF | Jan 14, 2019 |
| Geneva Lake Manor |
Skilled nursing facility | Adp of the SNF | Oct 10, 2022 |
| Careview Health and Rehab of Minocqua |
Skilled nursing facility | Adp of the SNF | Dec 14, 2024 |
| Hillsboro Health and Rehab LLC |
Skilled nursing facility | Adp of the SNF | Jun 30, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170331001848 | WI | Part B Supplier - Clinic/Group Practice | 0042595175 |
Receives reassigned benefits from 196 practitioners Practice locations: Milwaukee, WI; Oconomowoc, WI; Watertown, WI; Waukesha, WI; Menomonee Falls, WI; Brookfield, WI; Elkhorn, WI; Germantown, WI… |
National Provider Directory
Locations
400 N Main St
Dousman, WI 53118
Phone (262) 965-2111
W173N10915 Bernies Way
Germantown, WI 53022
Phone (262) 509-3300
2428 N Grandview Blvd
Waukesha, WI 53188
Phone (262) 875-5070
1200 Delafield St
Waukesha, WI 53188
Phone (262) 297-0724
N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
N20W22961 Watertown Rd
Waukesha, WI 53186-1308
Mailing address
N20W22961 Watertown Rd
Waukesha, WI 53186-1308
Phone (262) 875-5070
Other providers in Waukesha, WI
- Sharon D O'Neill
- Kelly L O'Reilly
- Janice O'Rourke
- Rachel O'Sullivan
- Oak Medical LLC
- Oak Medical Wound Services SC
- Oaw ASC, LLC
- Dennis M Obrien
- Jeffrey M Obrien
- Occupational Health Centers of the Southwest P.a.
All providers in Waukesha, WI · Internal Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.