Active NPI
Nancy Berkas Petro, MD
- Occupational Medicine Physician
- Milwaukee, WI
National Provider Identifier
1881701282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 22492-20
- Practice address
- 4111 W Mitchell St Ste 300
Milwaukee, WI 53215-1748 - Phone
- (414) 385-8800
- Fax
- (414) 671-8860
- NPI assigned
- Aug 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22492 | WI | |
| Occupational Medicine Physician | 2083X0100X | 22492-20 | WI | Primary |
Addresses
Primary practice location
4111 W Mitchell St Ste 300
Milwaukee, WI 53215-1748
Mailing address
4111 W Mitchell St Ste 300
Milwaukee, WI 53215-1748
Phone (414) 385-8800
Other practice location 1
9200 W Loomis Rd
#116
Franklin, WI 53132-9665
Phone (414) 529-9232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30511300 | 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 |
|---|---|---|---|
| 22492-20 | WI | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- npetro39435@direct.myadvocateaurora.org
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1881701282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 W MITCHELL ST STE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532151748",
"telephone_number": "414-385-8800",
"fax_number": "414-671-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 W MITCHELL ST STE 300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532151748",
"telephone_number": "414-385-8800",
"fax_number": "414-671-8860"
}
],
"practiceLocations": [
{
"address_1": "9200 W Loomis Rd",
"address_2": "#116",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "WI",
"postal_code": "531329665",
"country_code": "US",
"telephone_number": "414-529-9232",
"fax_number": "414-529-9292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETRO",
"first_name": "NANCY",
"middle_name": "BERKAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "22492",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "WI",
"license": "22492-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30511300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.