Individual provider Active NPI

Ashwin Uttam, D.O.

  • Hospitalist Physician
  • Waukesha, WI
National Provider Identifier
1891948089
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
5629721 Issued in WI
Practice address
725 American Ave RM 2036
PHC Hospitalist Program
Waukesha, WI 53188-5031
Phone
(262) 928-5400
NPI assigned
Oct 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 5629721 WI Primary
Internal Medicine Physician 207R00000X 56297 WI

Addresses

Primary practice location

725 American Ave RM 2036
PHC Hospitalist Program
Waukesha, WI 53188-5031

Mailing address

725 American Ave RM 2036
PHC Hospitalist Program
Waukesha, WI 53188-5031
Phone (262) 928-5400

Other identifiers 1

IdentifierTypeStateIssuer
1891948089MedicaidWI

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
I20111012000818 WI Practitioner - Internal Medicine 1153503396 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians

Practice addresses (Care Compare)

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 780-4111

Hospital & facility affiliations

  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136
  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Ascension St Francis Hospital Hospital, Milwaukee, WI, CCN 520078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56297WIMDInternal Medicine Physician
5629721WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Health System, Inc CurrentSince Aug 1, 2021 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Dec 20, 2020 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Jan 18, 2020 Accepting new patients
Apogee Medical Group Waukesha, SC Hospitalist CurrentSince Mar 17, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 19, 2023 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Dec 20, 2020 Accepting new patients
Beloit Health System Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Sep 6, 2017 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Jan 18, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 19, 2023 Accepting new patients
Prohealth Medical Group Inc Internal Medicine Past Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

3400 Deerfield Dr
Janesville, WI 53546
Phone (608) 314-3600

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2195 N Summit Village Way
Summit, WI 53066
Phone (262) 560-2400

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

1451 Cleveland Ave
Waukesha, WI 53186
Phone (262) 547-2123

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

725 American Ave
Rm 2036
Waukesha, WI 53188
Phone (262) 928-1000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1891948089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE RM 2036",
            "address_2": "PHC HOSPITALIST PROGRAM",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AMERICAN AVE RM 2036",
            "address_2": "PHC HOSPITALIST PROGRAM",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885031",
            "telephone_number": "262-928-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTTAM",
        "first_name": "ASHWIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "5629721",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "56297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891948089",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.