NPIMap

Organization Active NPI

The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1699720086
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE MEDICAL COLLEGE OF WISCONSIN, INC.
Practice address
8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone
(414) 955-7101
Fax
(414) 955-6264
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Mr. Matthew Lester, MBA, MHA, CPA
Title
Executive Vice President Finance
Phone
(414) 955-8704

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548

Mailing address

8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-7101

Other identifiers 5

IdentifierTypeStateIssuer
32739000MedicaidWI
1699720086MedicaidWI
32730400MedicaidWI
38381400MedicaidWI
41170800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031120000259 WI Part B Supplier - Clinic/Group Practice 2668384371 Receives reassigned benefits from 4,441 practitioners
O20031121000146 WI Part B Supplier - Independent Clinical Laboratory 2668384371 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Member organizations 41

Organizations listed as members of this organization in the National Provider Directory.

View all 41

Locations (25 of 102)

1301 E Northland Ave
Appleton, WI 54911
Phone (920) 205-6365

1611 S Madison St
Appleton, WI 54915
Phone (920) 727-4395

1755 N Barker Rd
Brookfield, WI 53045
Phone (262) 534-7297

305 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 789-2540

21700 Intertech Dr
Brookfield, WI 53045
Phone (262) 532-8300

16620 W Bluemound Rd
Ste 400
Brookfield, WI 53005
Phone (262) 789-9090

3150 N Brookfield Rd
Brookfield, WI 53045
Phone (262) 790-9260

19395 W Capitol Dr
Ste 100
Brookfield, WI 53045
Phone (262) 781-0273

12805 W Burleigh Rd
Brookfield, WI 53005
Phone (262) 797-6434

17500 Gebhardt Rd
Brookfield, WI 53045
Phone (262) 796-3942

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

9074 N Deerbrook Trl
#4
Brown Deer, WI 53223
Phone (414) 355-3824

9074 N Deerbrook Trl
Brown Deer, WI 53223
Phone (414) 354-7777

W51N932 Keup Rd
Cedarburg, WI 53012
Phone (262) 376-6701

W72N853 Harrison Ave
Cedarburg, WI 53012
Phone (262) 376-6800

W75N624 Wauwatosa Rd
Cedarburg, WI 53012
Phone (262) 376-6500

1686 Eisenhower Rd
De Pere, WI 54115
Phone (920) 405-1493

3195 Hillside Dr
Delafield, WI 53018
Phone (262) 646-9950

2301 Sun Valley Dr
Ste 300
Delafield, WI 53018
Phone (262) 522-3070

3111 W Rawson Ave
Ste 100
Franklin, WI 53132
Phone (414) 761-2600

10101 S 27th St
#4
Franklin, WI 53132
Phone (414) 389-4960

6701 N Jean Nicolet Rd
Glendale, WI 53217
Phone (414) 351-7524

6373 N Jean Nicolet Rd
Glendale, WI 53217
Phone (414) 228-0099

7025 Pleasant Valley Rd
Grafton, WI 53024
Phone (262) 375-1808

5025 S 116th St
Greenfield, WI 53228
Phone (414) 525-5650

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Johns on the LakeMilwaukee, WI, CCN 525539 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2024
Jun 23, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5,227

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 5,227

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1699720086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-955-7101",
            "fax_number": "414-955-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-955-7101",
            "fax_number": "414-955-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL COLLEGE OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "414-955-8704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MHA, CPA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32739000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699720086",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32730400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38381400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41170800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.