Active NPI
Michael Thomas Nolte, MD
- Orthopaedic Surgery Physician
- Pewaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 82494-20
- Practice address
- N15W28300 Golf Rd
Pewaukee, WI 53072-4800 - Phone
- (262) 303-5055
- Fax
- (262) 303-5057
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 82494-20 | WI | Primary |
Addresses
Primary practice location
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Mailing address
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 177 |
| Laminectomy or laminotomy (partial removal of spine bones) | 47 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82494-20 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rothman Orthopaedics of New Jersey, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Associates of Wisconsin, SC | Orthopaedic Surgery | Current | Accepting new patients |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| Orthopaedic Associates of Wisconsin SC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
999 Route 73 N
Ste 401
Marlton, NJ 08053
833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191
925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738
285 S Moorland Rd
Brookfield, WI 53005
Phone (810) 331-0939
1231 S Rochester St
Ste 100
Mukwonago, WI 53149
N15W28300 Golf Rd
Pewaukee, WI 53072
Interoperability endpoints
- mnolte164689@direct.phci.org
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Pewaukee, WI
- NPI 1689656951
-
dba Rothman Orthopaedics Institute
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Orthopaedic Surgery Physician
- Mukwonago, WI
- NPI 1720433790
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waukesha, WI
- NPI 1497720767
-
- General Acute Care Hospital
- Oconomowoc, WI
- NPI 1366420531
-
dba ProHealth Pharmacy - Oconomowoc
- Community/Retail Pharmacy
- Oconomowoc, WI
- NPI 1497942205
Hospital
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1942730163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N15W28300 GOLF RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N15W28300 GOLF RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530724800",
"telephone_number": "262-303-5055",
"fax_number": "262-303-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLTE",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "82494-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.