Organization provider

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

Internal Medicine Physician Allergy & Immunology Physician Dermatology Physician Medicare enrolled

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1609881077, based in Glendale, WI. The organization lists 15 taxonomy classifications, with Internal Medicine Physician recorded as primary.

Getting there

The practice address on file is 400 W RIVER WOODS PKWY, Glendale, WI 53212. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

400 W RIVER WOODS PKWY, Glendale, WI 53212 Open in Google Maps →

Credentials and Medicare

State licence

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.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
8628980943

Enrolled in Medicare 7 times, across 7 states:

StateEnrollment IDProvider type
Wisconsin O20031104000421 Part B Supplier - Clinic/group Practice
Texas O20221207002703 Part B Supplier - Clinic/group Practice
Michigan O20240307000213 Part B Supplier - Clinic/group Practice
Georgia O20240322001426 Part B Supplier - Clinic/group Practice
Tennessee O20240325000317 Part B Supplier - Clinic/group Practice
Oregon O20240418003751 Part B Supplier - Clinic/group Practice
Utah O20240725002922 Part B Supplier - Clinic/group Practice

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 7 separate enrolment records across 7 states (WI, TX, MI, GA, TN, OR, UT). 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 Internal Medicine covers

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

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.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician primary
207K00000X Allergy & Immunology Physician
207N00000X Dermatology Physician
207Q00000X Family Medicine Physician
207V00000X Obstetrics & Gynecology Physician
207X00000X Orthopaedic Surgery Physician
207Y00000X Otolaryngology Physician
208000000X Pediatrics Physician
2084N0400X Neurology Physician Neurology
2085R0001X Radiation Oncology Physician Radiation Oncology
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology
2086S0129X Vascular Surgery Physician Vascular Surgery
208800000X Urology Physician
363A00000X Physician Assistant
363L00000X Nurse Practitioner

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.

NPI1609881077 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 31, 2006
Last updatedMar 28, 2023
StatusActive
Practice address 400 W RIVER WOODS PKWY
Glendale, WI 53212
(414) 465-3000
The last update on file is Mar 28, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1609881077 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 0 9 8 8 1 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 0 9 7 8 2 0 5

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

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.

Common questions

What is NPI number 1609881077?
NPI 1609881077 is the National Provider Identifier assigned to ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC in Glendale, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive…
How do I contact ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC?
The phone number on file with NPPES is (414) 465-3000, last updated Mar 28, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1609881077 a valid number?
Yes. 1609881077 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.