Individual provider Active NPI

Douglas Milosavljevic, M.D.

  • Interventional Pain Medicine Physician
  • Franklin, WI
National Provider Identifier
1831173822
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
32597 Issued in WI
Practice address
8153 S 27TH St
Suite 500
Franklin, WI 53132-9549
Phone
(414) 761-1802
Fax
(414) 301-9101
NPI assigned
Dec 2, 2005
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32597-020 WI
Interventional Pain Medicine Physician 208VP0014X 32597 WI Primary

Addresses

Primary practice location

8153 S 27TH St
Suite 500
Franklin, WI 53132-9549

Mailing address

225 S Executive Dr
Brookfield, WI 53005-4257
Phone (262) 787-4050

Other identifiers 2

IdentifierTypeStateIssuer
P00264217OtherRAIL ROAD MEDICARE
32159800MedicaidWI

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
I20040526001187 WI Practitioner - AnesthesiologyPractitioner - Pain Management 0840271714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Douglas Milosavljevic, MD., SCGroup PAC ID 1254520323, 2 clinicians

Practice addresses (Care Compare)

8153 S 27TH St
Suite 600
Franklin, WI 53132-9557
Phone (414) 761-1802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32597-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GLSD Medical LLC CurrentSince Mar 18, 2014 Accepting new patients
Douglas Milosavljevic, M.D., S.C. Anesthesiology CurrentSince Aug 1, 2010 Accepting new patients
Southeastern Wisconsin Anesthesiology, S.C. Anesthesiology Past Accepting new patients
Great Lakes Pain Specialists, LLC Past Accepting new patients

Locations

225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026

8153 S 27th St
Ste 300
Franklin, WI 53132
Phone (414) 761-1802

8153 S 27th St
Ste 500
Franklin, WI 53132
Phone (414) 761-1802

8153 S 27th St
Ste 600
Franklin, WI 53132
Phone (414) 761-1802

Bin 88333
Milwaukee, WI 53288

8400 Washington Ave
Mount Pleasant, WI 53406
Phone (262) 231-3000

Interoperability endpoints

  • Direct secure messaging: dmmdsc@dmm-wi.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1831173822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S EXECUTIVE DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054257",
            "telephone_number": "262-787-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8153 S 27TH ST",
            "address_2": "SUITE 500",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329549",
            "telephone_number": "414-761-1802",
            "fax_number": "414-301-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOSAVLJEVIC",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "32597-020",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "32597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00264217",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32159800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

Verify at the official NPI Registry.