Individual provider Active NPI

Jesse E Bauwens, M.D.

  • Orthopaedic Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1730445230
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
61173-20 Issued in WI
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100034131MedicaidWI
P01922788OtherKYMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001000016 WI Practitioner - Orthopedic Surgery 0547589947 Reassigns benefits to 4 organizations

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
Wisconsin Bone and Joint S CGroup PAC ID 9234107749, 21 clinicians

Practice addresses (Care Compare)

2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1415
Phone (414) 257-2525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50174KYMDOrthopaedic Surgery Physician
61173-20WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Orthopedic Surgeons of Wisconsin, S.C. Orthopaedic Surgery CurrentSince Dec 1, 2023 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Orthopaedic Surgery CurrentSince Feb 4, 2022 Accepting new patients
Wisconsin Bone & Joint S C Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Wisconsin Bone & Joint S C Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Apr 1, 2021 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.