Active NPI
Matthew G Fleming, MD
- Dermatology Physician
- Milwaukee, WI
National Provider Identifier
1962453787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 36238
- Practice address
- 4324 W Bradley Rd
Milwaukee, WI 53223-3710 - Phone
- (414) 446-3450
- NPI assigned
- May 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 36238 | WI | |
| Dermatology Physician | 207N00000X | 36238 | WI | Primary |
Addresses
Primary practice location
4324 W Bradley Rd
Milwaukee, WI 53223-3710
Mailing address
PO Box 1003
Wichita, KS 67201-1003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32099900 | Medicaid | WI | |
| 002000162R | Other | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.13 of 100
- Quality
- 90.63
- Improvement activities
- 40
- Cost
- 82.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36238 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Dermatologists, SC | Dermatology | Current | Accepting new patients |
| Affiliated Dermatologists | Dermatology | Current | Accepting new patients |
| Affiliated Dermatologists SC | Dermatology | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Past | Accepting new patients |
Locations
13800 W North Ave
Ste 100
Brookfield, WI 53005
Phone (262) 754-4488
N96W17035 Division Rd
Germantown, WI 53022
Phone (262) 754-4488
Organizations & group practices 5
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.
-
- Dermatology Physician
- Brookfield, WI
- NPI 1407849011
-
- Specialist
- Exeter, NH
- NPI 1508061839
-
- Dermatology Physician
- Germantown, WI
- NPI 1902205206
-
- MOHS-Micrographic Surgery Physician
- Oak Creek, WI
- NPI 1316656721
Dermatology
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1962453787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1003",
"city": "WICHITA",
"state": "KS",
"postal_code": "672011003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 W BRADLEY RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532233710",
"telephone_number": "414-446-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "MATTHEW",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "WI",
"license": "36238",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "36238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32099900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "002000162R",
"state": null
}
],
"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 1, 2021; 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.