Individual provider Active NPI

Gehres Megan Paschal, MD

  • Emergency Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1760776231
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
69410 Issued in WI
Practice address
10625 W North Ave Ste 102
Milwaukee, WI 53226-2315
Phone
(414) 877-5350
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 271420 NY
Emergency Medicine Physician 207P00000X 69410 WI Primary

Addresses

Primary practice location

10625 W North Ave Ste 102
Milwaukee, WI 53226-2315

Mailing address

1918 E Lafayette PL
Milwaukee, WI 53202-1395
Phone (706) 589-8701

Other practice location 1

10201 66th Rd
Forest HIlls Hospital
Forest Hills, NY 11375-2029
Phone (718) 830-4200

Other practice location 2

10201 66th Rd
Forest HIlls Hospital
Forest Hills, NY 11375-2029
Phone (718) 830-4200

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
I20180724001956 WI Practitioner - Emergency Medicine 1456571884 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69410WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Care Associates, LLP PastSince Mar 8, 2016 Accepting new patients
Integrated Therapeutic Massage LLC PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1760776231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 E LAFAYETTE PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021395",
            "telephone_number": "706-589-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE STE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-877-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 66th Rd",
            "address_2": "Forest HIlls Hospital",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752029",
            "country_code": "US",
            "telephone_number": "718-830-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10201 66th Rd",
            "address_2": "Forest HIlls Hospital",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752029",
            "country_code": "US",
            "telephone_number": "718-830-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCHAL",
        "first_name": "GEHRES",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "271420",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "69410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.