Active NPI
Ralph J. Galdieri Jr., M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Eau Claire, WI
National Provider Identifier
1992746168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 45284
- Practice address
- 900 W Clairemont Ave
Eau Claire, WI 54701-6122 - Phone
- (715) 717-4121
- NPI assigned
- Jun 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 45284 | WI | Primary |
Addresses
Primary practice location
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Mailing address
16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920
Phone (262) 827-9200
Other practice location 1
16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5920
Phone (262) 827-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992746168 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45284 | WI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Heart Group Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Wisconsin Heart Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Brookfield, WI
- NPI 1326086943
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brookfield, WI
- NPI 1639402365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1992746168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16650 W BLUEMOUND RD",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055920",
"telephone_number": "262-827-9200",
"fax_number": "262-827-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W CLAIREMONT AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016122",
"telephone_number": "715-717-4121"
}
],
"practiceLocations": [
{
"address_1": "16650 W Bluemound Rd",
"address_2": "SUITE 200",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055920",
"country_code": "US",
"telephone_number": "262-827-9200",
"fax_number": "262-827-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALDIERI",
"first_name": "RALPH",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WI",
"license": "45284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992746168",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.