Active NPI
Michael D Becker, MD
- Cardiovascular Disease Physician
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD60556181
- Practice address
- 1233 N Mayfair Rd
Suite 201
Wauwatosa, WI 53226-3255 - Phone
- (414) 774-6300
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 25, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60556181 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | 23554-020 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | MD60556181 | WA | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 23554-020 | WI |
Addresses
Primary practice location
1233 N Mayfair Rd
Suite 201
Wauwatosa, WI 53226-3255
Mailing address
4555 W Schroeder Dr
Suite 170
Milwaukee, WI 53223-1475
Phone (414) 365-3210
Other practice location 1
1211 Skyview Dr
Aberdeen, WA 98520-1099
Phone (360) 533-9830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2042975 | Medicaid | WA | |
| 30487600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehoboth McKinley Christian Health Care Services, Inc.
Practice addresses (Care Compare)
1900 Red Rock Dr
Gallup, NM 87301-5682
Phone (505) 863-1820
1910 Red Rock Dr
Gallup, NM 87301-5682
Phone (505) 863-7136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23554-020 | WI | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| GHCH Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Midwest Area Physicians, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Cardiovascular Associates of Wisconsin, LLP | Cardiovascular Disease | Past | Accepting new patients |
Locations
1211 Skyview Dr
Aberdeen, WA 98520
Phone (360) 532-3808
319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980
Organizations & group practices 6
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.
-
dba Harbor Medical Group
- Surgery Physician
- Aberdeen, WA
- NPI 1326217670
Internal Medicine
-
- Cardiovascular Disease Physician
- Wauwatosa, WI
- NPI 1073549739
-
dba GHCH Hoquiam Clinic
- Obstetrics & Gynecology Physician
- Hoquiam, WA
- NPI 1134597693
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Cardiovascular Disease Physician
- Milwaukee, WI
- NPI 1841286291
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1245470699
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1811927726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 W SCHROEDER DR",
"address_2": "SUITE 170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532231475",
"telephone_number": "414-365-3210",
"fax_number": "414-365-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 N MAYFAIR RD",
"address_2": "SUITE 201",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263255",
"telephone_number": "414-774-6300"
}
],
"practiceLocations": [
{
"address_1": "1211 Skyview Dr",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "WA",
"postal_code": "985201099",
"country_code": "US",
"telephone_number": "360-533-9830",
"fax_number": "360-533-8398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60556181",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "23554-020",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD60556181",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "WI",
"license": "23554-020",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2042975",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30487600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.