Active NPI
Peter T. Geiss, M.D.
- Internal Medicine Physician
- Waukesha, WI
National Provider Identifier
1881666782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24374
- Practice address
- N17 W24100 Riverwood Dr
Waukesha Health Care Inc, Suite 130
Waukesha, WI 53188 - Phone
- (262) 928-4100
- Fax
- (262) 928-5835
- NPI assigned
- Feb 3, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24374 | WI | Primary |
Addresses
Primary practice location
N17 W24100 Riverwood Dr
Waukesha Health Care Inc, Suite 130
Waukesha, WI 53188
Mailing address
N17 W24100 Riverwood Dr. Suite 130
Waukesha Health Care Inc.
Waukesha, WI 53188
Phone (262) 928-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30457600 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24374 | WI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1881666782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N17 W24100 RIVERWOOD DR. SUITE 130",
"address_2": "WAUKESHA HEALTH CARE INC.",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53188",
"telephone_number": "262-928-4100",
"fax_number": "262-928-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N17 W24100 RIVERWOOD DR",
"address_2": "WAUKESHA HEALTH CARE INC, SUITE 130",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53188",
"telephone_number": "262-928-4100",
"fax_number": "262-928-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISS",
"first_name": "PETER",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "24374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30457600",
"state": "WI"
}
],
"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 Mar 16, 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.