Active NPI
Gi Specialists LLC
- Ambulatory Surgical Clinic/Center
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GI SPECIALISTS LLC
- Practice address
- 1111 Delafield St
Suite 322
Waukesha, WI 53188-3417 - Phone
- (414) 454-0600
- Fax
- (414) 454-0971
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Jo Burns
- Title
- Director Revenue Cycle Management
- Phone
- (262) 970-7825
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1111 Delafield St
Suite 322
Waukesha, WI 53188-3417
Mailing address
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00658029 | Other | WI | RAILROAD MEDICARE |
| 000085213 | Other | WI | MEDICARE PTAN |
Other names 1
- Moreland Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070523000706 | WI | Part B Supplier - Ambulatory Surgical Center | 4587761614 | Practice locations: Waukesha, WI |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Gi Specialists LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1082699 | Moreland Endoscopy Center | Certificate of waiver | Apr 15, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1111 Delafield St
Ste 322
Waukesha, WI 53188
Phone (262) 650-7322
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Milwaukee, WI
- NPI 1568649358
-
- Gastroenterology Physician
- Milwaukee, WI
- NPI 1750358420
-
- Gastroenterology Physician
- Milwaukee, WI
- NPI 1922198282
-
- Gastroenterology Physician
- Waukesha, WI
- NPI 1396714861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1679694004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153689",
"telephone_number": "414-908-6506",
"fax_number": "414-908-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "SUITE 322",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883417",
"telephone_number": "414-454-0600",
"fax_number": "414-454-0971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GI SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "262-970-7825"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00658029",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000085213",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Moreland Endoscopy Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Moreland Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.