FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
NPI 1154874352
Durable Medical Equipment & Medical Supplies in Brookfield, WI

NPI Status: Active since July 25, 2016

Contact Information

21700 INTERTECH DR
BROOKFIELD, WI
ZIP 53045
Phone: (262) 532-8200

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 52D0884858
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-11-2026

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 Brookfield, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1154874352 assigned on July 2016. 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 authorized official of this NPI record is Amir Abbas Ghaferi Md (President & Ceo)

NPI
1154874352
Provider Name
FROEDTERT &THE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS, INC.
Entity Type
Organization
Location Address
21700 INTERTECH DR BROOKFIELD, WI 53045
Location Phone
(262) 532-8200
Mailing Address
N74W12501 LEATHERWOOD CT MENOMONEE FALLS, WI 53051
Mailing Phone
(414) 777-0417
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2016
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.

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

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
52D0884858
Facility Type
Physician Office
Certificate Effective Date
April 12, 2024
Certificate Expiration Date
April 11, 2026
Laboratory Director
DR. AMY MILLER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Froedtert &the Medical College Of Wisconsin Community Physicians, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1154874352, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 8 → 16 → 7 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 6 + 7 + 8 + 3 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154874352.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER
BROOKFIELD, WI 53045
Obstetrics & Gynecology
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER
BROOKFIELD, WI 53045
Internal Medicine
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER
BROOKFIELD, WI 53045
Internal Medicine
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER
BROOKFIELD, WI 53045
Internal Medicine
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER
BROOKFIELD, WI 53045
Internal Medicine
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER
BROOKFIELD, WI 53045
Nurse Practitioner (Family)
21700 INTERTECH DR
BROOKFIELD, WI 53045
Physical Therapist (Neurology)
21700 INTERTECH DR
BROOKFIELD, WI 53045
Internal Medicine
21700 INTERTECH DR
BROOKFIELD, WI 53045
Podiatrist (Foot & Ankle Surgery)
21700 INTERTECH DR
BROOKFIELD, WI 53045
Physical Medicine & Rehabilitation
21700 INTERTECH DR
BROOKFIELD, WI 53045
Nurse Practitioner (Family)
21700 INTERTECH DR
BROOKFIELD, WI 53045
Nurse Practitioner (Family)
21700 INTERTECH DR
BROOKFIELD, WI 53045
Nurse Practitioner (Family)
21700 INTERTECH DR
BROOKFIELD, WI 53045
Physician Assistant
21700 INTERTECH DR
BROOKFIELD, WI 53045
Nurse Practitioner (Primary Care)
21700 INTERTECH DR
BROOKFIELD, WI 53045
Physical Therapist
21700 INTERTECH DR
BROOKFIELD, WI 53045
Physical Therapist
21700 INTERTECH DR
BROOKFIELD, WI 53045
Physical Therapist
21700 INTERTECH DR
BROOKFIELD, WI 53045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154874352, enumerated as an "organization" on July 25, 2016.

The provider is located at 21700 INTERTECH DR BROOKFIELD, WI 53045 and the phone number is (262) 532-8200.

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