Active NPI
Javed H Tunio, MD
- Cardiovascular Disease Physician
- West Bend, WI
National Provider Identifier
1720051683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 49827
- Practice address
- 3200 Pleasant Valley Rd
Division of Cardiology
West Bend, WI 53095-9274 - Phone
- (262) 836-7300
- Fax
- (262) 836-7301
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 44121 | MN | |
| Cardiovascular Disease Physician | 207RC0000X | 49827 | WI | Primary |
Addresses
Primary practice location
3200 Pleasant Valley Rd
Division of Cardiology
West Bend, WI 53095-9274
Mailing address
3200 Pleasant Valley Rd
Division of Cardiology
West Bend, WI 53095-9274
Phone (262) 836-7300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060001359 | Other | MN | MEDICARE |
| 1720051683 | Medicaid | WI | |
| 084995200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44121 | MN | MD | Cardiovascular Disease Physician |
| 49827 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Clinic LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1134490758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1720051683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"address_2": "DIVISION OF CARDIOLOGY",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7300",
"fax_number": "262-836-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY RD",
"address_2": "DIVISION OF CARDIOLOGY",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530959274",
"telephone_number": "262-836-7300",
"fax_number": "262-836-7301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNIO",
"first_name": "JAVED",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MN",
"license": "44121",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "49827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "060001359",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720051683",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084995200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.