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JUSTIN MICHAEL EALBA MD
NPI 1184253643
Radiology - Diagnostic Radiology in Milwaukee, WI

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-2060(414) 259-9290 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2026, Jul 1, 2025, May 19, 2025 and 1 more (4 updates tracked since 2020).

About Justin Michael Ealba Md NPPES

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

JUSTIN MICHAEL EALBA MD (NPI 1184253643) is an individual diagnostic radiology provider in Milwaukee, Wisconsin, licensed in Michigan (4301511994) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (2020).

NPPES Registry Identity

NPI1184253643
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJUSTIN MICHAEL EALBACredential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305
Phone(414) 805-2060
Fax(414) 259-9290
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1184253643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MI · 4301511994✔ Licensed in WI · 85783
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9200 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 1

Medicaid1184253643WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Michael Ealba Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941728299
PECOS Enrollment IDI20250520001641, I20250528002626
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Justin Ealba reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical College Of Wisconsin, Inc.
0.5 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
10 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500
Henry Ford Health System
256 mi
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1003990318 (313) 916-2600
Henry Ford Urgent Care
256 mi
Urgent Care
1 FORD PL
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 143 clinicians in this Medicare group
NPI 1184389876 (313) 874-4806

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

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Froedtert Community Hospital

Acute Care Hospitals · New Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520213
Location4805 S Moorland RdNew Berlin, WI 53151 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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 Justin Ealba's NPI number?

The NPI number for Justin Ealba is 1184253643. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Justin Ealba located?

Justin Ealba practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-2060.

What is Justin Ealba's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Justin Ealba enrolled in Medicare?

Yes. Justin Ealba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Ealba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Ealba reassigns Medicare benefits to 4 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Henry Ford Health System (Detroit, MI) and Henry Ford Urgent Care (Detroit, MI). Each 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 Justin Ealba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Ealba accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Justin Ealba 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.

Is Justin Ealba affiliated with any hospitals?

According to CMS data, Justin Ealba is affiliated with Henry Ford Health Hospital, St Josephs Community Hospital West Bend, Community Memorial Hospital, Froedtert Memorial Lutheran Hospital and Froedtert Community Hospital.

When was this NPI record last updated?

The NPPES record for Justin Ealba was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.