SOUTHEASTERN PEDIATRICS, SC
SOUTHEASTERN PEDIATRICS, SC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1154765410, based in Wauwatosa, WI. The organization lists 2 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
The practice address on file is 10625 W NORTH AVE STE 326, Wauwatosa, WI 53226. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 41265 | WI | Family Medicine Physician primary |
| 41265 | WI | Pediatric Adolescent Medicine Physician |
This provider holds licence 41265 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1850667114
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | 41265 | WI | primary |
| 2080A0000X | Pediatric Adolescent Medicine Physician Adolescent Medicine | 41265 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1154765410 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 17, 2013 |
| Last updated | May 15, 2024 |
| Status | Active |
| Practice address |
10625 W NORTH AVE STE 326 Wauwatosa, WI 53226 (414) 771-0500 Fax (414) 771-0363 |
| Mailing address |
7592 SOLUTIONS CTR # 777592 Chicago, IL 60677 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 7 | 6 | 5 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 5 | 6 | 1 | 4 | 2 |
Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.