Traci A. Purath, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

40525-020 Issued in WI

Practice address

565 Milwaukee Ave
Suite 2-C
Burlington, WI 53105-1254

Phone

(262) 694-5000

Fax

(262) 661-4606

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Neurology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Neurological Disorders SCGroup PAC ID 7214836188, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Neurological Disorders, SC

  • Neurology Physician
  • Milwaukee, WI
  • NPI 1649223041
  Medicare reassignment Care Compare group NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Froedtert Memorial Lutheran Hospital, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1255334173
  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1891716700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5244 ZACHARY DR",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039795",
            "telephone_number": "262-694-5000",
            "fax_number": "262-661-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 MILWAUKEE AVE",
            "address_2": "SUITE 2-C",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051254",
            "telephone_number": "262-694-5000",
            "fax_number": "262-661-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURATH",
        "first_name": "TRACI",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "40525-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34234000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Private Healthcare Facilities
• Professional Psychological Services, SC
• Donna Jeanne Przybylinski, M.A.
• Charles Anthony Puntillo, DDS
• Purath Headache & Neurology, S.C.
• Ramakrishna P Venugopalan MD SC
• Lynn S Raml, OTR
• Randall Joint #1 School District
• Paul Rasmussen
• Jennifer Lynn Ratajczyk, RD

• Neurology Physician in Burlington, WI
• Providers in Burlington, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.

Verify at the official NPI Registry.