Jerome Van Ruiswyk, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

27915 Issued in WI

Practice address

1821 N 16TH St
Milwaukee, WI 53205-1626

Phone

(414) 805-6850

Fax

(414) 977-0001

NPI assigned

May 15, 2006

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  Medicare reassignment NPD
• Aurora Health Care Metro, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1861447179
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1790736460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051626",
            "telephone_number": "414-805-6850",
            "fax_number": "414-977-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051626",
            "telephone_number": "414-805-6850",
            "fax_number": "414-977-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RUISWYK",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "27915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marien Van Horn, CNS
• Adam Van Huis
• Olivia Anne Van Laanen
• Raymond Van Ness, MD
• Leah M Van Oss, PTA
• Lenore Van Santen, M.D.
• Joshua Charles Van Schaick, APSW
• Catherine Murray Hooke Van Schyndle, NP
• Stephanie J Van Swol
• David Van Thiel, MSW, LCSW

• Internal Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.