Individual provider Active NPI

Henry Joseph Duffrin, MD

  • Diagnostic Radiology Physician
  • Wauwatosa, WI
National Provider Identifier
1750358198
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
29045020 Issued in WI
Practice address
4025 N 92ND St
Wauwatosa, WI 53222
Phone
(414) 358-5437
Fax
(414) 358-5451
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 29045 WI
Diagnostic Radiology Physician 2085R0202X 29045020 WI Primary

Addresses

Primary practice location

4025 N 92ND St
Wauwatosa, WI 53222

Mailing address

4025 N 92ND St
Wauwatosa, WI 53222-1613
Phone (414) 358-5437

Other practice location 1

10400 W North Avenue
Suite 300
Milwaukee, WI 53214
Phone (414) 771-7470

Other practice location 2

10400 W North Avenue
Suite 300
Milwaukee, WI 53214
Phone (414) 771-7470

Other identifiers 1

IdentifierTypeStateIssuer
31434200MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hduffrin9417@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
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
I20071117000020 WI Practitioner - Diagnostic Radiology 4082640677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

1055 N Mayfair Rd
Wauwatosa, WI 53226-3436
Phone (414) 476-8450

1136 Westowne Dr
Neenah, WI 54956-2175
Phone (920) 456-2030

12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone (262) 857-5000

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000

1346 E Green Bay St
Shawano, WI 54166-2210
Phone (715) 526-6244

14555 W National Ave
Suite 120
New Berlin, WI 53151-4494
Phone (262) 827-2955

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

1475 W Grand Ave
Port Washington, WI 53074-2074
Phone (262) 268-5100

1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000

1881 Chicago St
De Pere, WI 54115-3770
Phone (920) 403-8000

1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone (920) 746-7200

2000 E Layton Ave
Saint Francis, WI 53235-6053
Phone (414) 744-6589

201 E Morrissey Dr
Elkhorn, WI 53121-4395
Phone (262) 723-3100

205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-4800

215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

2424 S 90TH St
Suite 306
West Allis, WI 53227-2455
Phone (414) 328-8750

248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000

252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-7000

2600 Kiley Way
Plymouth, WI 53073-5020
Phone (920) 449-7000

Hospital & facility affiliations

  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • Aurora Medical Center Sheboygan County Hospital, Sheboygan, WI, CCN 520035
  • Aurora Lakeland Medical Center Hospital, Elkhorn, WI, CCN 520102
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Aurora Medical Ctr Oshkosh Hospital, Oshkosh, WI, CCN 520198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29045WIMDDiagnostic Radiology Physician
29045020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2008 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Apr 1, 2011 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2008 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Dec 14, 2014 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Apr 1, 2011 Accepting new patients

Locations (25 of 35)

1611 S Madison St
Appleton, WI 54915
Phone (920) 727-4395

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

112 N US Highway 141
Crivitz, WI 54114
Phone (715) 735-6621

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434

210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100

2845 Greenbrier Rd
#4
Green Bay, WI 54311
Phone (920) 288-8400

123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

3130 Shore Dr
Marinette, WI 54143
Phone (715) 735-7421

3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000

225 Eagle Lake Ave
Mukwonago, WI 53149
Phone (262) 363-3360

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

620 Warren St
Redgranite, WI 54970
Phone (920) 566-0620

Interoperability endpoints

  • Direct secure messaging: hduffrin9417@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1750358198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532221613",
            "telephone_number": "414-358-5437",
            "fax_number": "414-358-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 N 92ND ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53222",
            "telephone_number": "414-358-5437",
            "fax_number": "414-358-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 W North Avenue",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53214",
            "country_code": "US",
            "telephone_number": "414-771-7470",
            "fax_number": "414-771-7493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 W North Avenue",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53214",
            "country_code": "US",
            "telephone_number": "414-771-7470",
            "fax_number": "414-771-7493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFRIN",
        "first_name": "HENRY",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "29045",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "29045020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31434200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hduffrin9417@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4025 N 92nd St",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53222",
            "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": "4025 N 92nd St",
            "city": "Wauwatosa",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.