Individual provider Active NPI

Joseph J Lachica, M.D.

  • Emergency Medicine Physician
  • Friendship, WI
National Provider Identifier
1720027238
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
54341 Issued in WI
Practice address
402 W Lake St
Friendship, WI 53934-9699
Phone
(608) 339-3331
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-111357 IL
Emergency Medicine Physician 207P00000X 54341 WI Primary

Addresses

Primary practice location

402 W Lake St
Friendship, WI 53934-9699

Mailing address

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040927000950 IL Practitioner - Emergency Medicine 8123097110 Reassigns benefits to 2 organizations
I20100824000767 WI Practitioner - Emergency Medicine 8123097110 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Southern Illinois University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians
Emergency Medicine Associates of Madison, SCGroup PAC ID 2567455264, 17 clinicians

Practice addresses (Care Compare)

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6206

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54341WIMDRegistered Nurse
036-111357ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 25, 2023 Accepting new patients
Mile Bluff Medical Center Inc Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Oct 19, 2020 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Oct 4, 2019 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Oct 19, 2020 Accepting new patients
Belvidere Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 25, 2023 Accepting new patients
Divine Savior Healthcare, Inc. Emergency Medicine CurrentSince Oct 4, 2019 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince May 1, 2021 Accepting new patients
Emergency Medicine Associates of Madison, SC Emergency Medicine CurrentSince Mar 30, 2016 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2010 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 1, 2010 Accepting new patients
Mile Bluff Medical Center Inc Emergency Medicine Past Accepting new patients

Locations

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

29980 Network Pl
Chicago, IL 60673

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1720027238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W LAKE ST",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349699",
            "telephone_number": "608-339-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W LAKE ST",
            "city": "FRIENDSHIP",
            "state": "WI",
            "postal_code": "539349699",
            "telephone_number": "608-339-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHICA",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-111357",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "54341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendship, WI

Sources for this page

Verify at the official NPI Registry.