Active NPI
Ricardo Garza-Grande, M.D.
- Anesthesiology Physician
- Milwaukee, WI
National Provider Identifier
1801030770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 55887-20
- Practice address
- 3237 S 16TH St
Milwaukee, WI 53215-4526 - Phone
- (414) 647-5000
- NPI assigned
- Apr 22, 2009
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 55887-20 | WI | Primary |
Addresses
Primary practice location
3237 S 16TH St
Milwaukee, WI 53215-4526
Mailing address
4555 W Schroeder Dr Ste 170
Milwaukee, WI 53223-6456
Phone (414) 365-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Michigan State University College of Human Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1270
Hospital & facility affiliations
- Hillsboro Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55887-20 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Anesthesia Services, LLC | Anesthesiology | Current | Accepting new patients |
| Midwest Anesthesia Consultants SC | Anesthesiology | Past | Accepting new patients |
Locations
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Hillsboro, OR
- NPI 1508174012
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1386668564
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1801030770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 W SCHROEDER DR STE 170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532236456",
"telephone_number": "414-365-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3237 S 16TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154526",
"telephone_number": "414-647-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA-GRANDE",
"first_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "55887-20",
"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 Apr 22, 2014; 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.