Individual provider Active NPI

Dustin Hejdak, MD

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1881273290
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
77051-20 Issued in WI
Practice address
11101 W Lincoln Ave
Milwaukee, WI 53227-1133
Phone
(800) 767-4411
NPI assigned
Apr 4, 2021
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 77051-20 WI Primary

Addresses

Primary practice location

11101 W Lincoln Ave
Milwaukee, WI 53227-1133

Mailing address

12760 W North Ave BLDG a
Brookfield, WI 53005-4628

Other practice location 1

12760 W North Ave Bldg A
Brookfield, WI 53005-4628
Phone (262) 439-5500

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
I20240719002197 WI Practitioner - Psychiatry 7113301904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Wisconsin, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rogers Memorial Hospital IncorporatedGroup PAC ID 3476455809, 46 clinicians

Practice addresses (Care Compare)

11101 W Lincoln Ave
West Allis, WI 53227-1133
Phone (414) 327-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Jul 19, 2024 Accepting new patients
Milwaukee Behavioral Health LLC Psychiatry CurrentSince May 12, 2024 Accepting new patients

Locations

34700 Valley Rd
Oconomowoc, WI 53066

11101 W Lincoln Ave
West Allis, WI 53227
Phone (414) 203-4500

1706 S 68th St
West Allis, WI 53214
Phone (414) 667-4800

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.

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1881273290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE BLDG A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532271133",
            "telephone_number": "800-767-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12760 W North Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530054628",
            "country_code": "US",
            "telephone_number": "262-439-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEJDAK",
        "first_name": "DUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-04",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "77051-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.