Individual provider Active NPI

James Toniolo, M.D.

  • Diagnostic Radiology Physician
  • New Berlin, WI
National Provider Identifier
1801815154
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
32695 Issued in WI
Practice address
2875 S 171St St
New Berlin, WI 53151-3511
Phone
(262) 786-3107
Fax
(262) 780-0442
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 32695 WI Primary

Addresses

Primary practice location

2875 S 171St St
New Berlin, WI 53151-3511

Mailing address

2875 S 171St St
New Berlin, WI 53151-3511
Phone (262) 786-3107

Other identifiers 1

IdentifierTypeStateIssuer
31795800MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtoniolo13329@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050222000441 WI Practitioner - Diagnostic Radiology 4486607249 Reassigns benefits to 4 organizations
I20101112000660 IL Practitioner - Diagnostic Radiology 4486607249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1100 Gateway CT
West Bend, WI 53095-8539
Phone (262) 335-8600

12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200

14555 W National Ave
Suite 120
New Berlin, WI 53151-4494
Phone (262) 827-2955

1475 W Grand Ave
Port Washington, WI 53074-2074
Phone (262) 268-5100

1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000

2000 E Layton Ave
Suite 130
St Francis, WI 53235-6067
Phone (414) 747-8856

205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123

215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700

2424 S 90TH St
Suite 306
West Allis, WI 53227-2455
Phone (414) 328-8750

2801 W Kinnickinnic River Pkwy
Suite 345
Milwaukee, WI 53215-3669
Phone (414) 649-7900

2999 N Mayfair Rd
Suite 100
Wauwatosa, WI 53222-4306
Phone (414) 479-7000

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

3289 N Mayfair Rd
Wauwatosa, WI 53222-3203
Phone (414) 771-7900

6425 W Mequon Rd
Mequon, WI 53092-1855
Phone (262) 242-0051

9120 W Loomis Rd
Suite 100
Franklin, WI 53132-9083
Phone (414) 858-1740

945 N 12TH St
Milwaukee, WI 53233-1305
Phone (414) 219-7300

N112 W17975 Mequon Rd
Germantown, WI 53022-2425
Phone (262) 532-7600

W180N11070 River LN
Germantown, WI 53022-3109
Phone (262) 532-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32695WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Diagnostic Radiology Current Accepting new patients
Amg Illinois LTD CurrentSince Jun 12, 2010 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2009 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Dec 14, 2014 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Dec 14, 2014 Accepting new patients
Amg Illinois LTD CurrentSince Jun 12, 2010 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Mar 14, 2011 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2009 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Mar 14, 2011 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Great Lakes Radiologists SC Diagnostic Radiology Past Accepting new patients

Locations (25 of 45)

45 Tower Ct
Gurnee, IL 60031
Phone (847) 623-3200

3115 Lewis Ave
Zion, IL 60099
Phone (847) 746-3752

252 McHenry St
Burlington, WI 53105
Phone (262) 763-2411

112 N US Highway 141
Crivitz, WI 54114
Phone (715) 735-6621

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434

210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

2845 Greenbrier Rd
#4
Green Bay, WI 54311
Phone (920) 288-8400

2845 Greenbrier Rd
#1
Green Bay, WI 54311
Phone (920) 288-8100

1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000

1032 E Sumner St
Hartford, WI 53027
Phone (262) 670-4300

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919

7550 22nd Ave
Kenosha, WI 53143
Phone (262) 658-2500

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

3003 University Dr
Marinette, WI 54143
Phone (715) 732-8200

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

3130 Shore Dr
Marinette, WI 54143
Phone (715) 735-7421

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

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

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

Organizations & group practices 11

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1801815154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 S 171ST ST",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513511",
            "telephone_number": "262-786-3107",
            "fax_number": "262-780-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 S 171ST ST",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513511",
            "telephone_number": "262-786-3107",
            "fax_number": "262-780-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONIOLO",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "32695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31795800",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtoniolo13329@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2875 S 171st St",
            "city": "New Berlin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531513511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2875 S 171st St",
            "city": "New Berlin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531513511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.