Active NPI
Jesse E Bauwens, M.D.
- Orthopaedic Surgery Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 61173-20
- Practice address
- 2500 N Mayfair Rd Ste 500
Milwaukee, WI 53226-1415 - Phone
- (414) 257-2525
- Fax
- (414) 257-1772
- NPI assigned
- Apr 9, 2012
- Last updated
- Oct 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | 50174 | KY | |
| Orthopaedic Surgery Physician | 207X00000X | 61173-20 | WI | Primary |
Addresses
Primary practice location
2500 N Mayfair Rd Ste 500
Milwaukee, WI 53226-1415
Mailing address
2500 N Mayfair Rd Ste 500
Milwaukee, WI 53226-1415
Phone (414) 257-2525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100034131 | Medicaid | WI | |
| P01922788 | Other | KY | MEDICARE RR KY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Wisconsin, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1415
Phone (414) 257-2525
Hospital & facility affiliations
- Ascension at Home
- Orthopaedic Hospital of Wisconsin
- Ascension SE Wisconsin Hospital
- Ascension Columbia St Marys Hospital Milwaukee
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 20 |
| Knee replacement | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50174 | KY | MD | Orthopaedic Surgery Physician |
| 61173-20 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopedic Specialty Hospital, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Surgeons of Wisconsin, S.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Wisconsin Bone & Joint S C | Orthopaedic Surgery | Current | Accepting new patients |
| Wisconsin Bone & Joint S C | Orthopaedic Surgery | Current | Accepting new patients |
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
3111 W Rawson Ave
Ste 200
Franklin, WI 53132
Phone (414) 325-4320
7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620
525 W River Woods Pkwy
Ste 130
Glendale, WI 53212
Phone (414) 961-0304
N88W14275 Main St
Ste 200
Menomonee Falls, WI 53051
Phone (262) 509-2600
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
2500 N Mayfair Rd
Ste 500
Wauwatosa, WI 53226
Phone (414) 257-1772
2500 N Mayfair Rd
Ste 550
Wauwatosa, WI 53226
Phone (414) 257-2525
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Wauwatosa, WI
- NPI 1831102540
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Franklin, WI
- NPI 1275127375
-
- Orthopaedic Surgery Physician
- Wauwatosa, WI
- NPI 1295769321
-
- Durable Medical Equipment & Medical Supplies
- Muskego, WI
- NPI 1962238113
-
dba Wisconsin Bone and Joint S C
- Orthopaedic Surgery Physician
- Glendale, WI
- NPI 1760013890
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
dba Orthopaedic Hospital of Wisconsin
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
-
dba Ascension at Home
- Home Health Agency
- Milwaukee, WI
- NPI 1003820861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1730445230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N MAYFAIR RD STE 500",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532261415",
"telephone_number": "414-257-2525",
"fax_number": "414-257-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N MAYFAIR RD STE 500",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532261415",
"telephone_number": "414-257-2525",
"fax_number": "414-257-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUWENS",
"first_name": "JESSE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "50174",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "61173-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100034131",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR KY",
"identifier": "P01922788",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.