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

NPI Status: Active since June 06, 2013

Contact Information

3200 PLEASANT VALLEY RD
WEST BEND, WI
ZIP 53095
Phone: (262) 334-3451
Fax: (262) 836-2436

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 52D0678401
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 06-29-2026

About FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.

This page provides the complete NPI Profile along with additional information for Froedtert &the Medical College Of Wisconsin Community Physicians, Inc., a provider established in West Bend, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1053759571 assigned on June 2013. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Froedtert Physician Partners, Inc.. The authorized official of this NPI record is Amir Abbas Ghaferi Md (President & Ceo)

NPI
1053759571
Provider Legal Name
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Other Organization Name
FROEDTERT PHYSICIAN PARTNERS, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3200 PLEASANT VALLEY RD WEST BEND, WI 53095
Location Phone
(262) 334-3451
Location Fax
(262) 836-2436
Mailing Address
N74W12501 LEATHERWOOD CT STE 103 MENOMONEE FALLS, WI 53051
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2013
Last Update Date
05-31-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMIR ABBAS GHAFERI MD

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(734) 660-4939

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6521570008OTHER (01)MEDICARE DME CONTRACTOR

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0678401
Facility Type
Independent
Certificate Effective Date
June 30, 2024
Certificate Expiration Date
June 29, 2026
Laboratory Director
DR. PATRICK M. GARDNER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053759571, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 5 + 1 + 8 + 5 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053759571.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
3200 PLEASANT VALLEY RD, DEPARTMENT OF PATHOLOGY
WEST BEND, WI 53095
Pathology (Anatomic Pathology & Clinical Pathology)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Anesthesiology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Skilled Nursing Facility
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Anesthetist, Certified Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Obstetrics & Gynecology
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Occupational Therapy Assistant
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Dietitian, Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Dietitian, Registered
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Practitioner (Pediatrics)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Specialist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Occupational Therapist
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Practitioner (Family)
3200 PLEASANT VALLEY RD, INTERNAL MEDICINE
WEST BEND, WI 53095
Registered Nurse
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Nurse Practitioner
3200 PLEASANT VALLEY RD, KRAEMER CANCER CARE CENTER
WEST BEND, WI 53095
Internal Medicine (Pulmonary Disease)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095
Internal Medicine (Pulmonary Disease)
3200 PLEASANT VALLEY RD
WEST BEND, WI 53095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053759571, enumerated as an "organization" on June 06, 2013.

The provider is located at 3200 PLEASANT VALLEY RD WEST BEND, WI 53095 and the phone number is (262) 334-3451.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.