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PROHEALTH MEDICAL GROUP INC.
NPI 1356322440
Pediatrics in Waukesha, WI

Active since November 07, 2005CLIA Certified · 5 labs
N17W24100 RIVERWOOD DR, WAUKESHA, WI 53188(262) 928-4100(262) 928-5835 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2022, Apr 29, 2022, Sep 20, 2021 and 2 more (5 updates tracked since 2019).

About Prohealth Medical Group Inc. NPPES

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

PROHEALTH MEDICAL GROUP INC. (NPI 1356322440), doing business as Prohealth Medical Group Inc, is a healthcare organization registered as a pediatrics in Waukesha, Wisconsin and active in the NPI registry since November 2005. The organization holds 5 active CLIA laboratory certificates, maintains 7 additional practice locations, and lists Thomas W Johnson, Reimbursement Manager, as its authorized official.

NPPES Registry Identity

NPI1356322440
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROHEALTH MEDICAL GROUP INC.
Location AddressN17W24100 RIVERWOOD DRWaukesha, WI 53188-1177
Mailing AddressN17w24100 Riverwood DrWaukesha, WI 53188-1177 · (262) 928-4100 · Fax (262) 928-5835
Phone(262) 928-4100
Fax(262) 928-5835
Organization SubpartNo
Authorized OfficialThomas W JohnsonReimbursement Manager · (262) 928-4704
Enumeration DateNovember 7, 2005
Last NPPES UpdateJune 18, 20265 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1356322440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
N17W24100 RIVERWOOD DR, Waukesha, WI 53188
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Other Names 1

Doing Business AsProhealth Medical Group Inc

Secondary Practice Locations 7

Location 1808 Cornerstone CtWaterford, WI 53185 · Phone (262) 928-1977
Location 2N14W23800 Stone Ridge Dr Ste 110Waukesha, WI 53188-1144 · Phone (262) 780-0707 · Fax (262) 953-8848
Location 318905 W Capitol Dr Ste 110Brookfield, WI 53045-2752 · Phone (866) 432-7855 · Fax (262) 544-0046
Location 4790 Cornerstone CrossingWaterford, WI 53185-4582 · Phone (262) 928-1977
Location 5721 American Ave Ste 502Waukesha, WI 53188-5071 · Phone (262) 928-4036 · Fax (262) 928-5096
Location 61279 Capitol DrPewaukee, WI 53072-2504 · Phone (262) 928-9180
Location 71111 Delafield St Ste 112Waukesha, WI 53188-3402 · Phone (262) 928-9140

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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) 52D2192614

Prohealth Medical Group, Inc - Waterford · Waterford, WI
Active · expires Sep 10, 2026
CLIA Number52D2192614
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorDr. Jon Woolever
Laboratory Phone(262) 928-1977
Laboratory LocationProhealth Medical Group, Inc - Waterford808 Cornerstone Ct, Waterford, WI 53185
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.

Certificate of Waiver 52D2272440

Prohealth Medical Group, Inc - Brookfield Imaging Center · Brookfield, WI
Active · expires Nov 20, 2026
CLIA Number52D2272440
Laboratory TypeFreestanding Imaging Cent
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorDr. Dominique Sanchez
Laboratory Phone(262) 928-0784
Laboratory LocationProhealth Medical Group, Inc - Brookfield Imaging Center18905 W Capitol Drive, Suite 110, Brookfield, WI 53045
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2005009

Prohealth Medical Group, Inc Occupational Health Services Brookfield Discovery Drive · Brookfield, WI
Active · expires Mar 16, 2028
CLIA Number52D2005009
Laboratory TypeIndustrial
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDr. Sandra G. Amadon
Laboratory Phone(262) 928-5934
Laboratory LocationProhealth Medical Group, Inc Occupational Health Services Brookfield Discovery Drive195 Discovery Drive, Brookfield, WI 53045
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0388174

Prohealth Medical Group, Inc - Brookfield Discovery Drive 1st Floor · Brookfield, WI
Active · expires Mar 14, 2028
CLIA Number52D0388174
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorDr. Dominique Sanchez
Laboratory Phone(262) 513-7100
Laboratory LocationProhealth Medical Group, Inc - Brookfield Discovery Drive 1st Floor195 Discovery Dr, Brookfield, WI 53045
CLIA data matches this NPI record on: Name
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.

Certificate of Waiver 52D2215231

Prohealth Medical Group, Inc- Brookfield Discovery Dr 2nd Floor · Brookfield, WI
Active · expires Mar 1, 2027
CLIA Number52D2215231
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorDr. Dominique Sanchez
Laboratory Phone(262) 513-7153
Laboratory LocationProhealth Medical Group, Inc- Brookfield Discovery Dr 2nd Floor195 Discovery Dr, Brookfield, WI 53045
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMPATHIA, INC.
Social Worker
N17W24100 RIVERWOOD DR, SUITE 300
WAUKESHA, WI 53188
Waukesha County (262) 574-2500
PROHEALTH MEDICAL GROUP INC
Family Medicine
N17W24100 RIVERWOOD DR, PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI 53188
Waukesha County (262) 928-4100

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 Prohealth Medical Group Inc.'s NPI number?

The NPI number for Prohealth Medical Group Inc. is 1356322440. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is doing business as Prohealth Medical Group Inc.

Where is Prohealth Medical Group Inc. located?

Prohealth Medical Group Inc. is located at N17w24100 Riverwood Dr, Waukesha, WI 53188. The listed phone number is (262) 928-4100.

What is Prohealth Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Prohealth Medical Group Inc. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Prohealth Medical Group Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Prohealth Medical Group Inc. 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 Prohealth Medical Group Inc. was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.