Individual provider Active NPI

Carolina Gueco Conti, M.D.

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1750340766
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40742 Issued in WI
Practice address
1930 W Wells St
Milwaukee, WI 53233-1918
Phone
(414) 431-2888
Fax
(414) 431-4288
NPI assigned
Mar 20, 2006
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40742 WI Primary

Addresses

Primary practice location

1930 W Wells St
Milwaukee, WI 53233-1918

Mailing address

1930 W Wells St
Milwaukee, WI 53233-1918
Phone (414) 431-2888

Other identifiers 1

IdentifierTypeStateIssuer
32552500MedicaidWI

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
I20040520000974 WI Practitioner - Internal MedicinePractitioner - General Practice 8123019940 Reassigns benefits to 1 organization
Practice locations: Milwaukee, WI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1930 W Wells St
Milwaukee, WI 53233-1918
Phone (414) 431-2888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40742WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina G. Conti, M.D., S.C. Internal Medicine CurrentSince Apr 1, 2004 Accepting new patients

Locations

1930 W Wells St
Milwaukee, WI 53233
Phone (414) 431-2888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1750340766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W WELLS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331918",
            "telephone_number": "414-431-2888",
            "fax_number": "414-431-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W WELLS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331918",
            "telephone_number": "414-431-2888",
            "fax_number": "414-431-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTI",
        "first_name": "CAROLINA",
        "middle_name": "GUECO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "40742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32552500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.