Individual provider Active NPI

Benjamin Joseph Lasee, M.D.

  • Orthopaedic Surgery Physician
  • Kenosha, WI
National Provider Identifier
1942526330
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
86299-20 Issued in WI
Practice address
7401 104TH Ave Ste 110
Kenosha, WI 53142-7845
Phone
(262) 764-5595
Fax
(262) 764-9314
NPI assigned
Apr 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 86299-20 WI Primary

Addresses

Primary practice location

7401 104TH Ave Ste 110
Kenosha, WI 53142-7845

Mailing address

7401 104TH Ave Ste 110
Kenosha, WI 53142-7845
Phone (262) 764-5595

Other identifiers 1

IdentifierTypeStateIssuer
1942526330MedicaidWI

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
I20160810002929 WI Practitioner - Orthopedic Surgery 6103128152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians
Comprehensive Orthopaedics SCGroup PAC ID 3375445497, 21 clinicians

Practice addresses (Care Compare)

10222 74TH St
Kenosha, WI 53142-6810
Phone (262) 925-5020

204 S Pine St
Burlington, WI 53105-1914
Phone (419) 221-6717

5024 Green Bay Rd
Kenosha, WI 53144-1702
Phone (419) 221-6717

7200 Washington Ave
Mount Pleasant, WI 53406-6516
Phone (262) 583-0790

7401 104TH Ave
Suite 110
Kenosha, WI 53142-7845
Phone (262) 764-5595

9809 39TH Ave
Pleasant Prairie, WI 53158-3733
Phone (262) 925-5080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86299-20WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Orthopaedics SC Orthopaedic Surgery CurrentSince Sep 6, 2016 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Orthopaedic Surgery CurrentSince Sep 16, 2016 Accepting new patients
Comprehensive Orthopaedics SC CurrentSince Sep 6, 2016 Accepting new patients

Locations

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

1757 Milwaukee Ave
#B
Burlington, WI 53105
Phone (262) 764-5595

6804 Green Bay Rd
Ste 108
Kenosha, WI 53142
Phone (262) 697-1090

7401 104th Ave
#110
Kenosha, WI 53142
Phone (262) 764-5595

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

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

Interoperability endpoints

  • Direct secure messaging: blasee347686@direct.froedtert.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: benjamin.lasee.p1@direct.comportho.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1942526330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 104TH AVE STE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427845",
            "telephone_number": "262-764-5595",
            "fax_number": "262-764-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 104TH AVE STE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427845",
            "telephone_number": "262-764-5595",
            "fax_number": "262-764-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASEE",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-11",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "86299-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942526330",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.