PROHEALTH MEDICAL GROUP INC.
PROHEALTH MEDICAL GROUP INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1356322440, based in Waukesha, WI. The organization lists 15 taxonomy classifications, with Pediatrics Physician recorded as primary.
Getting there
The practice address on file is N17W24100 RIVERWOOD DR, Waukesha, WI 53188. 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
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3476465188
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Wisconsin | O20031103000066 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20250214002982 | Dme Supplier - Physician - General Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NUCC Health Care Provider Taxonomy, code 208000000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | — | — | primary |
| 207K00000X | Allergy & Immunology Physician | — | — | |
| 207N00000X | Dermatology Physician | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | |
| 207W00000X | Ophthalmology Physician | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 207Y00000X | Otolaryngology Physician | — | — | |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 208800000X | Urology Physician | — | — | |
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — | |
| 261QR0200X | Radiology Clinic/Center Radiology | — | — |
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 | 1356322440 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 7, 2005 |
| Last updated | Jul 23, 2025 |
| Status | Active |
| Practice address |
N17W24100 RIVERWOOD DR Waukesha, WI 53188 (262) 928-4100 Fax (262) 928-5835 |
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 | 3 | 5 | 6 | 3 | 2 | 2 | 4 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 1 | 6 | 6 | 2 | 4 | 4 | 8 |
Sum = 60 · next multiple of 10 = 60 · 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.