CHILDRENS HOSPITAL OF WISCONSIN, INC.
NPI 1245308626
Pediatrics in Milwaukee, WI

NPI Status: Active since December 01, 2006

Contact Information

9000 W WISCONSIN AVE
MS 958
MILWAUKEE, WI
ZIP 53226
Phone: (414) 266-7615
Fax: (414) 266-6238

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  • Organization
  • Pediatrics
  • Accepts Insurance

About CHILDRENS HOSPITAL OF WISCONSIN, INC.

This page provides the complete NPI Profile along with additional information for Childrens Hospital Of Wisconsin, Inc., a pediatrician established in Milwaukee, Wisconsin operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1245308626 assigned on December 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Childrens Hospital Of Wisconsin, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Monica Ricca (Vp Revenue Cycle)

NPI
1245308626
Provider Name
CHILDRENS HOSPITAL OF WISCONSIN, INC.
Entity Type
Organization
Location Address
9000 W WISCONSIN AVE MS 958 MILWAUKEE, WI 53226
Location Phone
(414) 266-7615
Location Fax
(414) 266-6238
Mailing Address
9000 W WISCONSIN AVE MS 958 MILWAUKEE, WI 53226
Mailing Phone
(414) 266-7615
Mailing Fax
(414) 266-6238
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2006
Last Update Date
11-05-2020
Code Navigator

A pediatrician like Childrens Hospital Of Wisconsin, Inc. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1204D00000XAllopathic & Osteopathic Physicians

Neuromusculoskeletal Medicine & OMM

 
2207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

 
3207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

 
42084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
5208M00000XAllopathic & Osteopathic Physicians

Hospitalist

 
6225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
72251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist
Pediatrics

 
8251B00000XAgencies

Case Management

(WI)
9261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

(WI)
10261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

(WI)
11261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 10000 - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catastrophic 10600 with 3 free PCP visits - HMO
  • HMO Gold 2000 - HMO
  • HMO Gold 2700 - HMO
  • HMO HDHP Silver 5900 - HMO
  • HMO Silver 6000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • POS Bronze 8500 - POS
  • POS Silver 6000 - POS
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO
  • Oak $1,300 Gold - PPO
  • Oak $2,000 Standard Gold - PPO

*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

MONICA RICCA

Authorized Official Title
VP REVENUE CYCLE
Authorized Official Phone
(414) 266-2511

Reviews for CHILDRENS HOSPITAL OF WISCONSIN, 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 1245308626, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 6 + 0 + 1 + 6 + 6 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1245308626.

Other Providers at the Same Location


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

Pediatrics (Pediatric Nephrology)
9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY
MILWAUKEE, WI 53226
Genetic Counselor, MS
9000 W WISCONSIN AVE, MS 716
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI 53226
Pediatrics (Pediatric Allergy/Immunology)
9000 W WISCONSIN AVE, PEDIATRIC ALLERGY/IMMUNOLOGY
MILWAUKEE, WI 53226
Surgery (Pediatric Surgery)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Neurological Surgery
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI 53226
Hospitalist
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Anesthesiology (Critical Care Medicine)
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Surgery (Pediatric Surgery)
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI 53226
Allergy & Immunology
9000 W WISCONSIN AVE, CHILDREN'S HEALTH SYS OFFICE BLDG
MILWAUKEE, WI 53226
Anesthesiology
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Registered Nurse
9000 W WISCONSIN AVE, CHILDREN'S HOSPITAL OF WISCONSIN
MILWAUKEE, WI 53226
Anesthesiology
9000 W WISCONSIN AVE, PEDIATRIC ANESTHESIOLOGY
MILWAUKEE, WI 53226
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine (Medical Toxicology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Allergy/Immunology)
9000 W WISCONSIN AVE, PEDIATRIC ALLERY AND IMMUNOLOGY
MILWAUKEE, WI 53226
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Audiologist
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245308626, enumerated as an "organization" on December 01, 2006.

The provider is located at 9000 W WISCONSIN AVE MS 958 MILWAUKEE, WI 53226 and the phone number is (414) 266-7615.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.