ALLEN FAMILY MEDICINE SC
NPI 1073407433
Family Medicine in Cudahy, WI

Active since June 09, 2025CLIA 52D2171660 · Microscopy
4580 S NICHOLSON AVE, CUDAHY, WI 53110(414) 326-4800(855) 270-4751 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Allen Family Medicine Sc NPPES

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

ALLEN FAMILY MEDICINE SC (NPI 1073407433) is a healthcare organization registered as a family medicine in Cudahy, Wisconsin and active in the NPI registry since June 2025. The organization holds a CLIA Microscopy certificate valid through March 6, 2028 and lists Timothy William Allen, President, as its authorized official.

NPPES Registry Identity

NPI1073407433
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLEN FAMILY MEDICINE SC
Location Address4580 S NICHOLSON AVECudahy, WI 53110-1360
Mailing Address4580 S Nicholson AveCudahy, WI 53110-1360 · (414) 326-4800 · Fax (855) 270-4751
Fax(855) 270-4751
Organization SubpartNo
Authorized OfficialTimothy William AllenPresident · (414) 326-4800
Enumeration DateJune 9, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1073407433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
4580 S NICHOLSON AVE, Cudahy, WI 53110

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allen Family Medicine Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Allen Family Medicine Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1043235153
4580 S NICHOLSON AVE
Cudahy, WI 53110
(414) 326-4800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720007271
4580 S NICHOLSON AVE
Cudahy, WI 53110
(414) 326-4800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 52D2171660

Allen Family Medicine · Cudahy, WI
Active · expires Mar 6, 2028
CLIA Number52D2171660
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorDr. Timothy W. Allen
Laboratory Phone(414) 326-4800
Laboratory LocationAllen Family Medicine4580 S Nicholson Ave, Cudahy, WI 53110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Allen Family Medicine Sc's NPI number?

The NPI number for Allen Family Medicine Sc is 1073407433. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Allen Family Medicine Sc located?

Allen Family Medicine Sc is located at 4580 S Nicholson Ave, Cudahy, WI 53110. The listed phone number is (414) 326-4800.

What is Allen Family Medicine Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Allen Family Medicine Sc enrolled in Medicare?

Yes. Allen Family Medicine Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allen Family Medicine Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Allen Family Medicine Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Allen Family Medicine Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D2171660) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allen Family Medicine Sc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Allen Family Medicine Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allen Family Medicine Sc was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.