Active NPI
Diana Greyz Lerner, MD
- Pediatric Gastroenterology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 54305
- Practice address
- 9000 W Wisconsin Ave
Pediatric Gastroenterology
Milwaukee, WI 53226-4874 - Phone
- (414) 266-3690
- Fax
- (414) 266-3676
- NPI assigned
- Aug 8, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 54305 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Pediatric Gastroenterology
Milwaukee, WI 53226-4874
Mailing address
9000 W Wisconsin Ave
Pediatric Gastroenterology
Milwaukee, WI 53226-4874
Phone (414) 266-3690
Other practice location 1
2575 E Evergreen Drive
Appleton, WI 54913
Phone (920) 969-5353
Other practice location 2
555 Redbird Cir
DE Pere, WI 54115-7977
Phone (920) 445-7272
Other practice location 3
1655 W Mequon Rd
Mequon, WI 53092-3254
Phone (414) 607-5280
Other practice location 4
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-3310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851547996 | Medicaid | WI |
Other names 1
- Diana Greyz
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54305 | WI | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Children'S Specialty Group, Inc. | Pediatrics | Past | Accepting new patients |
Locations
10911 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-2080
Bin 88350
Milwaukee, WI 53288
Phone (414) 805-3122
1601 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 459-4767
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- dlerner8260@direct.chw.org
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1942970405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1851547996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC GASTROENTEROLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-3690",
"fax_number": "414-266-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "PEDIATRIC GASTROENTEROLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-3690",
"fax_number": "414-266-3676"
}
],
"practiceLocations": [
{
"address_1": "2575 E Evergreen Drive",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "54913",
"country_code": "US",
"telephone_number": "920-969-5353",
"fax_number": "414-337-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 Redbird Cir",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541157977",
"country_code": "US",
"telephone_number": "920-445-7272",
"fax_number": "920-338-6879",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1655 W Mequon Rd",
"address_purpose": "LOCATION",
"city": "Mequon",
"state": "WI",
"postal_code": "530923254",
"country_code": "US",
"telephone_number": "414-607-5280",
"fax_number": "414-607-5288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-3310",
"fax_number": "414-805-3885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LERNER",
"first_name": "DIANA",
"middle_name": "GREYZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "WI",
"license": "54305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851547996",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "GREYZ",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.