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Prohealth Medical Group Inc

Organization Active NPI Family Medicine Physician · Brookfield, WI

NPI 1891836680 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1891836680
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
PROHEALTH MEDICAL GROUP INC
Practice address
195 Discovery Dr
Brookfield, WI 53045-2862
Phone
(262) 928-7100
Fax
(262) 928-7111
NPI assigned
Feb 12, 2007
Organization subpart
Yes
Parent organization (as reported)
PROHEALTH MEDICAL GROUP INC

Authorized official

Name
Peter Geiss, MD
Title
President
Phone
(262) 928-8669

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 475

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 475

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0388174Prohealth Medical Group, Inc -
195 Discovery Dr, Brookfield, WI 53045		Provider-performed microscopyMar 14, 2028
52D2005009Prohealth Medical Group, Inc Occupational Health
195 Discovery Drive, Brookfield, WI 53045		Certificate of waiverMar 16, 2028
52D2215231Prohealth Medical Group, Inc-
195 Discovery Dr, Brookfield, WI 53045		Certificate of waiverMar 1, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111207000715 WI DME Supplier - Physician - General Surgery 3476465188 Practice locations: Brookfield, WI

National Provider Directory

Tax ID family
Med Assoc Men Falls LTD (13 organizations share this tax ID)
Part of
Med Assoc Men Falls LTD

Locations

2085 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 928-7100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X

Addresses

Primary practice location

195 Discovery Dr
Brookfield, WI 53045-2862

Mailing address

N17 W24100 Riverwood Dr
Suite 250
Waukesha, WI 53188-1131
Phone (262) 928-4100

Other identifiers

IdentifierTypeStateIssuer
0505180005OtherWIDME
32819200MedicaidWI

Other providers in Brookfield, WI

All providers in Brookfield, WI · Family Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.