Individual provider Active NPI

Lewis A Rosenberg, MD PHD

  • Radiation Oncology Physician
  • Mount Pleasant, WI
National Provider Identifier
1790974780
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
65848-20 Issued in WI
Practice address
3809 Spring St
Mount Pleasant, WI 53405-1667
Phone
(262) 687-5000
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 65848-20 WI Primary

Addresses

Primary practice location

3809 Spring St
Mount Pleasant, WI 53405-1667

Mailing address

11516 N Port Washington Rd Ste 107
Mequon, WI 53092-3478
Phone (262) 241-5040

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
I20160906001245 WI Practitioner - Radiation Oncology 3971751306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Associates LTDGroup PAC ID 7618924622, 23 clinicians

Practice addresses (Care Compare)

3809 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-5000

Hospital & facility affiliations

  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Ascension St Francis Hospital Hospital, Milwaukee, WI, CCN 520078
  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates, LTD Radiation Oncology CurrentSince Oct 1, 2016 Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

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

7410 W Rawson Ave
Franklin, WI 53132
Phone (414) 427-2360

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

6811 118th Ave
Kenosha, WI 53142
Phone (262) 857-5750

11516 N Port Washington Rd
Ste 107
Mequon, WI 53092
Phone (262) 241-5040

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

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

3809 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-5000

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

2700 W 9th Ave
Ste 11
Oshkosh, WI 54904
Phone (920) 223-8900

5300 Memorial Dr
Ste 104
Two Rivers, WI 54241
Phone (920) 793-7349

Organizations & group practices 1

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 8

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1790974780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 N PORT WASHINGTON RD STE 107",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923478",
            "telephone_number": "262-241-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051667",
            "telephone_number": "262-687-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "LEWIS",
        "middle_name": "A",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "65848-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.