Paul Brian Doenier, M.D.
Individual provider Active NPI Family Medicine Physician · Waukesha, WI
NPI 1720030489 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1720030489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 49232-020 (WI)
- Practice address
- 1111 Delafield St Ste 300
Waukesha, WI 53188-3407 - Phone
- (262) 446-0955
- Fax
- (262) 446-0055
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1111 Delafield St
Suite 300
Waukesha, WI 53188-3407
Phone (262) 446-0955
Hospital & facility affiliations
- Prohealth Home Care
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000031 | WI | Practitioner - Family Practice |
4789651191 |
Reassigns benefits to 1 organization Practice locations: Waukesha, WI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49232-020 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul B Doenier MD, SC | Family Medicine | Current |
Accepting new patients |
Locations
1111 Delafield St
Ste 300
Waukesha, WI 53188
Phone (262) 446-0955
1111 Delafield St
Ste 321
Waukesha, WI 53188
Phone (262) 446-0955
Interoperability endpoints
- pdoenier9409@direct.phci.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49232-020 | WI | Yes |
Addresses
Primary practice location
1111 Delafield St Ste 300
Waukesha, WI 53188-3407
Mailing address
1111 Delafield St Ste 300
Waukesha, WI 53188-3407
Phone (262) 446-0955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720030489 | Medicaid | WI | |
| 1235672239 | Medicaid | WI | |
| 34898600 | Medicaid | WI |
Other providers in Waukesha, WI
- Maja Djuric
- Taylor Bay Dlapa
- DMDZ, Inc.
- Jared Dobbs
- Doenier Family Medicine SC
- Todd Michael Doenier
- Pamela Marie Dolata
- Tamara Lynn Domansky
- David J Dominguese
- Melissa S Donahue
All providers in Waukesha, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.