Organization Active NPI

Idoc Wisconsin Telehealth Solutions LLC

  • Hospitalist Physician
  • Milwaukee, WI
National Provider Identifier
1952199275
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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

Updated by the provider on Apr 28, 2025

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
13078OtherWILICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260313000520 WI Part B Supplier - Clinic/Group Practice 0648753087 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.