Active NPI
Alan Mautz, M.D.
- Diagnostic Radiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 48725 - 20
- Practice address
- 9200 W Wisconsin Ave
Department of Radiology
Milwaukee, WI 53226-3522 - Phone
- (414) 805-3750
- NPI assigned
- Oct 18, 2006
- Last updated
- Jun 24, 2010
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 48725 - 20 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Department of Radiology
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Department of Radiology
Milwaukee, WI 53226-3522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Crystal Run Rd
Middletown, NY 10941-4040
Phone (845) 673-6446
140 Academy St
Presque Isle, ME 04769-3102
Phone (207) 768-4000
194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155
515 Main St
Olean, NY 14760-1513
Phone (716) 373-2600
Hospital & facility affiliations
- Northern Light a R Gould Hospital
- Northern Maine Medical Center
- Houlton Regional Hospital
- Auburn Community Hospital
- Canton-Potsdam Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 71.56
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 76.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- Quality
- 87.76
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48725 - 20 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lawrence Radiology Assoc PC | Diagnostic Radiology | Current | Accepting new patients |
| The Aroostook Medical Center | Current | Accepting new patients | |
| Olean Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Maritime Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Subspecialist of New York | Past | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Past | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Past | Accepting new patients | |
| Medical Scanning Consultants, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Locations
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
8395 Oswego Rd
Baldwinsville, NY 13027
Phone (315) 450-4898
3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040
140 W Main St
Cuba, NY 14727
Phone (585) 968-2000
77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000
160 Broad St
Hamilton, NY 13346
Phone (315) 824-7040
4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
110 Crystal Run Rd
Middletown, NY 10941
Phone (845) 673-6446
4693 Commercial Dr
New Hartford, NY 13413
Phone (315) 507-5114
515 Main St
Olean, NY 14760
Phone (716) 373-2600
535 Main St
Olean, NY 14760
Phone (716) 372-0141
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351
1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Fort Kent, ME
- NPI 1760628358
-
- Diagnostic Radiology Physician
- Olean, NY
- NPI 1700829850
-
- Diagnostic Radiology Physician
- Potsdam, NY
- NPI 1154380863
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
-
- Specialist
- Watertown, NY
- NPI 1508241878
-
dba Northern Light Acute Rehabilitation
- Rehabilitation Hospital
- Presque Isle, ME
- NPI 1265551212
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
dba Rayus Radiology
- Diagnostic Radiology Physician
- Wauwatosa, WI
- NPI 1811919426
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Diagnostic Neuroimaging (Radiology) Physician
- Middletown, NY
- NPI 1124655352
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
-
dba NMMC Medical Office Building
- Multi-Specialty Clinic/Center
- Fort Kent, ME
- NPI 1144073297
Hospital
-
- Critical Access Hospital
- Fort Kent, ME
- NPI 1568465144
-
dba Northern Light A.R. Gould Hospital
- General Acute Care Hospital
- Presque Isle, ME
- NPI 1396858999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1780765297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUTZ",
"first_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "48725 - 20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.