DR. KEITH T OLDHAM MD
NPI 1023060753
Surgery - Pediatric Surgery in Milwaukee, WI

Q: What is Keith Oldham's NPI number?

The NPI number for Keith Oldham is 1023060753. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Keith Oldham's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Keith Oldham was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2006PECOS Enrolled

9000 W WISCONSIN AVE, PEDIATRIC SURGERY, MILWAUKEE, WI 53226(414) 266-6550(414) 266-6579 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Keith T Oldham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH T OLDHAM MD (NPI 1023060753) is an individual pediatric surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (40362) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023060753

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameDR. KEITH T OLDHAMCredential: MD

Location Address9000 W WISCONSIN AVE, PEDIATRIC SURGERYMilwaukee, WI 53226-4874

Mailing Address9000 W Wisconsin Ave, Pediatric SurgeryMilwaukee, WI 53226-4874 · (414) 266-6550 · Fax (414) 266-6579

Phone(414) 266-6550

Fax(414) 266-6579

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateMarch 2, 2023

NPPES CertifiedMarch 2, 2023

✔ NPI 1023060753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in WI · 40362

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

9000 W WISCONSIN AVE, Milwaukee, WI 53226

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Other Identifiers 2

Other002000328QHumana

Medicaid1023060753WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith T Oldham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LESLIE L. TALBERT NP

Nurse Practitioner (Pediatrics)

9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226

Milwaukee County (414) 266-3360

SARAH MARIE RUMLER DO

Pediatrics (Pediatric Hematology-Oncology)