NPIMap

Individual provider Active NPI

Raymond L Hartke, M.D.

  • Gastroenterology Physician
  • Wausau, WI
National Provider Identifier
1952475931
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
36338 Issued in WI
Practice address
411 Westwood Dr
Wausau, WI 54401-4152
Phone
(715) 847-2558
Fax
(715) 847-2752
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 36338 WI Primary

Addresses

Primary practice location

411 Westwood Dr
Wausau, WI 54401-4152

Mailing address

411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000190 WI Practitioner - Gastroenterology 1355374786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal Associates S.C.Group PAC ID 4385677814, 42 clinicians

Practice addresses (Care Compare)

411 Westwood Dr
Wausau, WI 54401-4152
Phone (715) 847-2558

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.86 of 100Reported as group
Quality
86.95
Promoting interoperability
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy167
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36338WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates S.C. Gastroenterology CurrentSince Aug 2, 2005 Accepting new patients

Locations

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

2251 N Shore Dr
Ste 200
Rhinelander, WI 54501
Phone (715) 361-4602

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

411 Westwood Dr
Wausau, WI 54401
Phone (715) 479-0374

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 1

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1952475931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WESTWOOD DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014152",
            "telephone_number": "715-847-2558",
            "fax_number": "715-847-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WESTWOOD DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014152",
            "telephone_number": "715-847-2558",
            "fax_number": "715-847-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTKE",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "36338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.