NPIMap

Organization Active NPI

Greater Milwaukee Critical Care and Pulmonary Associates SC

  • Critical Care Medicine (Internal Medicine) Physician
  • Milwaukee, WI
National Provider Identifier
1952569816
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
45393 Issued in WI
Legal business name
GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC
Practice address
3201 S 16TH St
2015
Milwaukee, WI 53215-4537
Phone
(414) 840-0198
NPI assigned
May 28, 2008
Last updated
Jul 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Dr. Rakesh Waghray, MDNPI 1124059969
Title
Officer
Phone
(414) 840-0198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X 45393 WI Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 39828 WI

Addresses

Primary practice location

3201 S 16TH St
2015
Milwaukee, WI 53215-4537

Mailing address

PO Box 070520
Milwaukee, WI 53207-0520
Phone (414) 840-0198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000542 WI Part B Supplier - Clinic/Group Practice 0244304558 Receives reassigned benefits from 23 practitioners
Practice locations: Milwaukee, WI; Mequon, WI; Franklin, WI; Elkhorn, WI; Brookfield, WI

National Provider Directory

National Provider Directory

Locations

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

756 N 35th St
Ste 101
Milwaukee, WI 53208
Phone (414) 342-2511

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1952569816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 070520",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532070520",
            "telephone_number": "414-840-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S 16TH ST",
            "address_2": "2015",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154537",
            "telephone_number": "414-840-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MILWAUKEE CRITICAL CARE AND PULMONARY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "WAGHRAY",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "414-840-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "45393",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "39828",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 24, 2015; 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.