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FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
NPI 1053759571
Durable Medical Equipment & Medical Supplies in West Bend, WI

Active since June 06, 2013CLIA 52D0678401 · Certificate of Compliance
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095(262) 334-3451(262) 836-2436 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Aug 18, 2022 (2 updates tracked since 2022).

About Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. NPPES

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

FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC. (NPI 1053759571), doing business as Froedtert Physician Partners, Inc., is a healthcare organization registered as a durable medical equipment & medical supplies in West Bend, Wisconsin and active in the NPI registry since June 2013. The organization holds a CLIA Certificate of Compliance certificate valid through June 29, 2028 and lists Amir Abbas Ghaferi, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1053759571
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Location Address3200 PLEASANT VALLEY RDWest Bend, WI 53095-9274
Mailing AddressN74w12501 Leatherwood Ct Ste 103Menomonee Falls, WI 53051-4490
Phone(262) 334-3451
Fax(262) 836-2436
Organization SubpartNo
Authorized OfficialAmir Abbas GhaferiPresident & Ceo · (734) 660-4939
Enumeration DateJune 6, 2013
Last NPPES UpdateMay 31, 20242 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1053759571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3200 PLEASANT VALLEY RD, West Bend, WI 53095
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Other Names 1

Former Legal Business NameFroedtert Physician Partners, Inc.

Other Identifiers 1

Other6521570008Medicare Dme Contractor

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20131025001068DME · Multi-Specialty - PhysicianDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0678401

Froedtert & The Medical College Of Wisconsin Community Physicians · West Bend, WI
Active · expires Jun 29, 2028
CLIA Number52D0678401
Laboratory TypeIndependent
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorDr. Patrick M. Gardner
Laboratory Phone(262) 677-7549
Laboratory LocationFroedtert & The Medical College Of Wisconsin Community Physicians1700 W Paradise Dr, West Bend, WI 53095
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

ABDEL HAI ISMAIL ALQWASMI M.D
Internal Medicine (Hematology & Oncology)
3200 PLEASANT VALLEY RD, DIVISION OF NEOPLASTIC DISEASES
WEST BEND, WI 53095
Washington County (262) 836-7200
MARY OGNENOFF OTR
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 677-6805
MR. MATTHEW R MUELLER CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
CHRISTOPHER JON LEICHLITER M.D.
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-2400
KAITLYN SOLVESON APRN-NP
Nurse Practitioner
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 334-5533
JENNIFER ESSER REPPAS PA-C
Physician Assistant (Surgical)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
JANET GOLDMAN MD
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300
KARI L CHAKRABARTI CRNA
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Washington County (262) 836-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Froedtert &the Medical College Of Wisconsin Community Physicians, Inc.'s NPI number?

The NPI number for Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. is 1053759571. It was assigned to this organization in the NPPES registry on June 6, 2013. The provider was formerly known as Froedtert Physician Partners, Inc..

Where is Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. located?

Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. is located at 3200 Pleasant Valley Rd, West Bend, WI 53095. The listed phone number is (262) 334-3451.

What is Froedtert &the Medical College Of Wisconsin Community Physicians, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. enrolled in Medicare?

Yes. Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. is registered in the Medicare PECOS enrollment system.

When is Froedtert &the Medical College Of Wisconsin Community Physicians, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Multi-Specialty - Physician) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D0678401) is associated with this NPI, valid through June 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.