Active NPI
Idoc Wisconsin Telehealth Solutions LLC
- Hospitalist Physician
- Milwaukee, WI
National Provider Identifier
1952199275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- IDOC WISCONSIN TELEHEALTH SOLUTIONS LLC
- Practice address
- 777 N Jefferson St Ste 408
Milwaukee, WI 53202-3875 - Phone
- (818) 378-9549
- Fax
- (877) 712-5707
- NPI assigned
- Apr 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalya Melnic
- Title
- Mba
- Phone
- (818) 378-9549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
777 N Jefferson St Ste 408
Milwaukee, WI 53202-3875
Mailing address
4635 Southwest Fwy Ste 525
Houston, TX 77027-7157
Phone (818) 378-9549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13078 | Other | WI | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745798400000",
"number": "1952199275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4635 SOUTHWEST FWY STE 525",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770277157",
"telephone_number": "818-378-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 N JEFFERSON ST STE 408",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532023875",
"telephone_number": "818-378-9549",
"fax_number": "877-712-5707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDOC WISCONSIN TELEHEALTH SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-18",
"status": "A",
"authorized_official_last_name": "MELNIC",
"authorized_official_first_name": "NATALYA",
"authorized_official_title_or_position": "MBA",
"authorized_official_telephone_number": "818-378-9549"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "13078",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.