Active NPI
Concerto Wisconsin LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brookfield, WI
National Provider Identifier
1982122354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CONCERTO WISCONSIN LLC
- Practice address
- 13905 W Burleigh Rd
Brookfield, WI 53005-3036 - Phone
- (262) 325-7724
- Fax
- (847) 443-1328
- NPI assigned
- Sep 6, 2017
- 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
- Shimon Meystel
- Title
- Ceo
- Phone
- (847) 443-1228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
13905 W Burleigh Rd
Brookfield, WI 53005-3036
Mailing address
4600 W Touhy Ave
#100
Lincolnwood, IL 60712
Phone (847) 233-1202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171115002900 | WI | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 3678839198 | Practice locations: Brookfield, WI |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Concerto Wisconsin LLC
- Ownership
- Profit
- Certified
- Jun 2, 2020
- Medicare certification status
- Active
- Dialysis stations
- 1
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2180230 | Concerto Wisconsin LLC | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Affiliated clinicians 11
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1982122354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 W TOUHY AVE",
"address_2": "#100",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "60712",
"telephone_number": "847-233-1202",
"fax_number": "847-233-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13905 W BURLEIGH RD",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053036",
"telephone_number": "262-325-7724",
"fax_number": "847-443-1328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCERTO WISCONSIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "MEYSTEL",
"authorized_official_first_name": "SHIMON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-443-1228"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.