PHILLIP AVILA MD
NPI 1396495354
Family Medicine in Muskego, WI
About Phillip Avila Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP AVILA MD (NPI 1396495354) is an individual family medicine provider in Muskego, Wisconsin, licensed in Wisconsin (84553) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phillip Avila Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Phillip Avila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Phillip Avila's NPI number?
The NPI number for Phillip Avila is 1396495354. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Phillip Avila located?
Phillip Avila practices at S68w15500 Janesville Rd, Muskego, WI 53150. The listed phone number is (414) 422-4000.
What is Phillip Avila's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Phillip Avila enrolled in Medicare?
Yes. Phillip Avila is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Phillip Avila's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Avila reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (West Allis, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). 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 Phillip Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Avila accept?
Health plans from CareSource (Common Ground Healthcare) list Phillip Avila 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 Phillip Avila was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.
# Phillip Avila, MD · NPI 1396495354
Family Medicine physician in Muskego, Wisconsin. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1396495354 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 84553 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** S68W15500 JANESVILLE RD, Muskego, WI 53150-2613
- **Phone:** (414) 422-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 21, 2026
- **Other identifiers:** Medicaid 100288635 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1396495354) · Data from the CMS NPPES public registry.