WISCONSIN PHLEBOLOGY MEDICAL GROUP SC
NPI 1295780492
Surgery in Mequon, WI
About Wisconsin Phlebology Medical Group Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WISCONSIN PHLEBOLOGY MEDICAL GROUP SC (NPI 1295780492) is a healthcare organization registered as a surgery in Mequon, Wisconsin and active in the NPI registry since May 2006. The organization lists Nathan Amoruso, Sr Vp Revenue, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wisconsin Phlebology Medical Group Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Wisconsin Phlebology Medical Group Sc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wisconsin Phlebology Medical Group Sc's NPI number?
The NPI number for Wisconsin Phlebology Medical Group Sc is 1295780492. It was assigned to this organization in the NPPES registry on May 24, 2006.
Where is Wisconsin Phlebology Medical Group Sc located?
Wisconsin Phlebology Medical Group Sc is located at 10614 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 834-0123.
What is Wisconsin Phlebology Medical Group Sc's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Wisconsin Phlebology Medical Group Sc enrolled in Medicare?
Yes. Wisconsin Phlebology Medical Group Sc is registered in the Medicare PECOS enrollment system.
When is Wisconsin Phlebology Medical Group Sc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wisconsin Phlebology Medical Group Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wisconsin Phlebology Medical Group Sc, in Emergency Medicine, General Surgery and Internal Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wisconsin Phlebology Medical Group Sc was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Wisconsin Phlebology Medical Group Sc · NPI 1295780492
Surgery organization in Mequon, Wisconsin. Organization record, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1295780492 (Entity type: Organization)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Nathan Amoruso, SR VP REVENUE
## Practice location
- **Address:** 10614 N PORT WASHINGTON RD, Mequon, WI 53092-5013
- **Phone:** (262) 834-0123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Wisconsin, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), General Surgery (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295780492) · Data from the CMS NPPES public registry.