Active NPI
Robert Hartmann, M.D.
- Pediatrics Physician
- New Berlin, WI
National Provider Identifier
1871586388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 27652
- Practice address
- 4855 S Moorland Rd
Suite 150
New Berlin, WI 53151-7401 - Phone
- (414) 425-5660
- Fax
- (414) 425-9803
- NPI assigned
- Aug 30, 2005
- Last updated
- Sep 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 27652 | WI | Primary |
Addresses
Primary practice location
4855 S Moorland Rd
Suite 150
New Berlin, WI 53151-7401
Mailing address
4855 S Moorland Rd
Suite 150
New Berlin, WI 53151-7401
Phone (414) 425-5660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31408800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27652 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Medical Group | Past | Accepting new patients | |
| Children's Medical Group | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MBH Telehealth
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1205068616
-
dba Forest View Pediatrics
- Pediatrics Physician
- New Berlin, WI
- NPI 1427223767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1871586388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 S MOORLAND RD",
"address_2": "SUITE 150",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517401",
"telephone_number": "414-425-5660",
"fax_number": "414-425-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 S MOORLAND RD",
"address_2": "SUITE 150",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517401",
"telephone_number": "414-425-5660",
"fax_number": "414-425-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "27652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31408800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Berlin, WI
- Aaron Hanson
- James Louis Harrison III, MS, CSAC, LPC, NCGC-
- Hart Hearing Care Centers, Inc
- Lisa Hart, HIS
- Bredesen Hartmann, MD
- Christine Ann Hartung
- Ellie Hase
- Health Support Services
- Healthdirect Institutional Pharmacy Services Inc (Healthdirect Institutional Pharmacy Services, Inc. #118)
- Nicole Leigh Heding, APNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.