Individual provider Active NPI

Thomas A Taft, MD

  • Infectious Disease Physician
  • Brookfield, WI
National Provider Identifier
1851341994
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
24629-020 Issued in WI
Practice address
150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858
Phone
(262) 786-4550
Fax
(262) 786-4552
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 24629-020 WI Primary

Addresses

Primary practice location

150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858

Mailing address

150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858
Phone (262) 786-4550

Other identifiers 1

IdentifierTypeStateIssuer
30634600MedicaidWI

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
I20040122000514 WI Practitioner - Infectious Disease 0749182723 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24629-020WIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Specialists of SE Wi, SC Infectious Disease CurrentSince Dec 1, 1990 Accepting new patients
Thedacare, Incorporated CurrentSince Feb 19, 2025 Accepting new patients
Thedacare, Incorporated CurrentSince Feb 19, 2025 Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

150 S Sunny Slope Rd
Ste 136
Brookfield, WI 53005
Phone (262) 641-6089

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • Direct secure messaging: ttaft9821@direct.phci.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1851341994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD STE 136",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054858",
            "telephone_number": "262-786-4550",
            "fax_number": "262-786-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD STE 136",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054858",
            "telephone_number": "262-786-4550",
            "fax_number": "262-786-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "24629-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30634600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.