Organization Active NPI

Hospitalist Medicine Physicians of Wisconsin, LTD

  • Internal Medicine Physician
  • Kenosha, WI
National Provider Identifier
1699902809
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOSPITALIST MEDICINE PHYSICIANS OF WISCONSIN, LTD
Practice address
6308 8TH Ave
Kenosha, WI 53143-5031
Phone
(262) 656-2011
NPI assigned
Jun 15, 2009
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Laura Fall
Title
Manager
Phone
(253) 682-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6308 8TH Ave
Kenosha, WI 53143-5031

Mailing address

5410 Maryland Way
Suite #300
Brentwood, TN 37027-5064
Phone (615) 377-5658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090818000609 WI Part B Supplier - Clinic/Group Practice 7012061500 Receives reassigned benefits from 20 practitioners

National Provider Directory

National Provider Directory

Locations

1571 US Highway 51 N
Arbor Vitae, WI 54568
Phone (715) 301-7200

5778 Chapin St
Florence, WI 54121
Phone (715) 528-4833

209 Wilderness View Dr
#Three
Marshfield, WI 54449
Phone (715) 389-6000

303 W Upham St
Marshfield, WI 54449
Phone (715) 301-7260

2730 W Ramsey Ave
Milwaukee, WI 53221
Phone (414) 282-2600

111 E Davenport St
Rhinelander, WI 54501
Phone (715) 301-7210

2124 Kohler Memorial Dr
Ste 200
Sheboygan, WI 53081
Phone (920) 547-4126

101 Sunshine Blvd
Soldiers Grove, WI 54655
Phone (608) 326-8471

3107 Westhill Dr
Wausau, WI 54401
Phone (715) 842-0575

1350 River Run Dr
Wisconsin Rapids, WI 54494
Phone (715) 421-3140

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1699902809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY",
            "address_2": "SUITE #300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275064",
            "telephone_number": "615-377-5658",
            "fax_number": "888-241-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435031",
            "telephone_number": "262-656-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALIST MEDICINE PHYSICIANS OF WISCONSIN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-682-6040"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.