Individual provider Active NPI

Mark Andrew Splittgerber, M.D.

  • Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1700185204
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
67709-20 Issued in WI
Practice address
1218 W Kilbourn Ave Ste 511
Milwaukee, WI 53233-1325
Phone
(414) 219-5080
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 67709-20 WI Primary

Addresses

Primary practice location

1218 W Kilbourn Ave Ste 511
Milwaukee, WI 53233-1325

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (414) 219-5080

Other identifiers 1

IdentifierTypeStateIssuer
100069193MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address msplittgerber190522@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20170824002479 WI Practitioner - General Surgery 7719259829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Wisconsin, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

950 N 12TH St
Milwaukee, WI 53233-1306
Phone (414) 219-7956

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67709-20WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Aug 14, 2017 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 14, 2017 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1218 W Kilbourn Ave
Milwaukee, WI 53233
Phone (414) 219-7343

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

945 N 12th St
Ste 4602
Milwaukee, WI 53233
Phone (414) 219-7450

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1218 W Kilbourn Ave
Ste 511
Milwaukee, WI 53233
Phone (414) 219-5080

Interoperability endpoints

  • Direct secure messaging: msplittgerber190522@direct.myadvocateaurora.org

Organizations & group practices 3

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 2

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1700185204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "414-219-5080",
            "fax_number": "414-219-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W KILBOURN AVE STE 511",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331325",
            "telephone_number": "414-219-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLITTGERBER",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "67709-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069193",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msplittgerber190522@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1218 W Kilbourn Ave Ste 511",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532331325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1218 W Kilbourn Ave Ste 511",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532331325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.