Active NPI
Edward Lloyd Kreimier III III, M.D.
- Surgery Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 69448-20
- Practice address
- 1111 Delafield St
Ste 209
Waukesha, WI 53188 - Phone
- (262) 542-0444
- Fax
- (262) 542-8214
- NPI assigned
- Mar 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 69448-20 | WI | |
| Surgery Physician | 208600000X | 69448-20 | WI | Primary |
Addresses
Primary practice location
1111 Delafield St
Ste 209
Waukesha, WI 53188
Mailing address
1111 Delafield St
Ste 209
Waukesha, WI 53188-3403
Phone (262) 542-0444
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Michigan State University College of Human Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 Delafield St
Suite 209
Waukesha, WI 53188-3403
Phone (262) 542-0444
Hospital & facility affiliations
- Waukesha Memorial Hospital
- Oconomowoc Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69448-20 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waukesha Surgical Specialists, S.C. | Surgery | Current | Accepting new patients |
| Regional General & Vascular Surgeons, S. C. | Surgery | Past | Accepting new patients |
Locations
195 Discovery Dr
Brookfield, WI 53045
Phone (262) 513-7100
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
1185 Corporate Center Dr
Ste 200
Oconomowoc, WI 53066
Phone (262) 567-1499
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
1111 Delafield St
Ste 100
Waukesha, WI 53188
Phone (262) 928-4300
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
1111 Delafield St
Ste 209
Waukesha, WI 53188
Phone (414) 542-0444
Interoperability endpoints
- ekriemier86280@direct.phci.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.
-
- Surgery Physician
- Waukesha, WI
- NPI 1295776649
-
- Surgery Physician
- Oconomowoc, WI
- NPI 1679546584
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1851633754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "STE 209",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883403",
"telephone_number": "262-542-0444",
"fax_number": "262-542-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST",
"address_2": "STE 209",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53188",
"telephone_number": "262-542-0444",
"fax_number": "262-542-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIMIER III",
"first_name": "EDWARD",
"middle_name": "LLOYD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-19",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WI",
"license": "69448-20",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "69448-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.