Individual provider Active NPI

Alan Mautz, M.D.

  • Diagnostic Radiology Physician
  • Milwaukee, WI
National Provider Identifier
1780765297
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
48725 - 20 Issued in WI
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140109001646 ME Practitioner - Diagnostic Radiology 8820148026 Reassigns benefits to 2 organizations
I20170718002251 PA Practitioner - Diagnostic Radiology 8820148026
I20170731000331 NY Practitioner - Diagnostic Radiology 8820148026 Reassigns benefits to 3 organizations

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
St Lawrence Radiology Assoc PCGroup PAC ID 2264421122, 25 clinicians
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians
Maritime Radiology Associates PCGroup PAC ID 2961566989, 8 clinicians
Olean Radiology, PCGroup PAC ID 9133118862, 16 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
71.56
Promoting interoperability
96
Improvement activities
40
Cost
76.21

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48725 - 20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince May 29, 2019 Accepting new patients
The Aroostook Medical Center CurrentSince Jan 1, 2014 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince May 22, 2017 Accepting new patients
Maritime Radiology Associates PC Diagnostic Radiology CurrentSince May 22, 2017 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.

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": "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

Verify at the official NPI Registry.