Individual provider Active NPI

Andrew Goelz, M.D.

  • Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1689107815
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
69922 Issued in WI
Practice address
3070 N 51St St
Milwaukee, WI 53210-1645
Phone
(414) 874-4870
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 69922 WI Primary

Addresses

Primary practice location

3070 N 51St St
Milwaukee, WI 53210-1645

Mailing address

3070 N 51St St
Milwaukee, WI 53210-1645
Phone (414) 874-4870

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615000523 WI Practitioner - General Surgery 9830435122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3070 N 51St St
Suite 106
Milwaukee, WI 53210-1661
Phone (414) 442-9911

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal17
Removal of tissue27
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69922WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Jul 25, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jul 1, 2022 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Jul 25, 2022 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc Past Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500

N88W14275 Main St
Ste 200
Menomonee Falls, WI 53051
Phone (262) 509-2600

12831 N Port Washington Rd
Ste 100
Mequon, WI 53097
Phone (262) 243-9600

3070 N 51st St
Ste 100
Milwaukee, WI 53210
Phone (414) 875-9950

3070 N 51st St
Ste 106
Milwaukee, WI 53210
Phone (414) 442-9911

3070 N 51st St
Milwaukee, WI 53210
Phone (414) 442-9911

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

10950 W Capitol Dr
Wauwatosa, WI 53222
Phone (414) 464-4460

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

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.

Hospital & facility affiliations 4

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1689107815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-874-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-874-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOELZ",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "69922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.