Active NPI
Tedd P Cain, MD
- Gastroenterology Physician
- Milwaukee, WI
National Provider Identifier
1750358115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 29080-020
- Practice address
- 2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689 - Phone
- (414) 908-6615
- Fax
- (414) 385-2980
- NPI assigned
- Mar 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 29080-020 | WI | Primary |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Mailing address
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31769700 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tcain24100@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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 |
|---|---|---|---|
| 29080-020 | WI | MD | Gastroenterology Physician |
Interoperability endpoints
- tcain24100@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1750358115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153689",
"telephone_number": "414-908-6615",
"fax_number": "414-385-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153689",
"telephone_number": "414-908-6615",
"fax_number": "414-385-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "TEDD",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "29080-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31769700",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tcain24100@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2801 W Kinnickinnic River Pkwy Ste 1080",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532153689",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2801 W Kinnickinnic River Pkwy Ste 1080",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532153689",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.