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MILESTONE PEDIATRICS, SC
NPI 1417607136
Pediatrics in Waukesha, WI

Active since March 25, 2022CLIA 52D2262663 · Waiver
20611 WATERTOWN RD STE D&E, WAUKESHA, WI 53186(262) 256-0676 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Milestone Pediatrics, Sc NPPES

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

MILESTONE PEDIATRICS, SC (NPI 1417607136) is a healthcare organization registered as a pediatrics in Waukesha, Wisconsin and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Amy M Lautz, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1417607136
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMILESTONE PEDIATRICS, SC
Location Address20611 WATERTOWN RD STE D&EWaukesha, WI 53186-1871
Mailing Address20611 Watertown Rd Ste D & EWaukesha, WI 53186-1871 · (622) 256-0676 · Fax (262) 205-4210
Phone(262) 256-0676
Organization SubpartNo
Authorized OfficialAmy M LautzOwner / President · (414) 241-5730
Enumeration DateMarch 25, 2022
Last NPPES UpdateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1417607136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
20611 WATERTOWN RD STE D&E, Waukesha, WI 53186
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Other Identifiers 1

Other1437125424WI · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 52D2262663

Milestone Pediatrics Sc · Waukesha, WI
Active · expires Jun 15, 2028
CLIA Number52D2262663
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorMelissa J. Laskowski
Laboratory Phone(262) 256-0676
Laboratory LocationMilestone Pediatrics Sc20611 Watertown Rd Ste D, Waukesha, WI 53186
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Milestone Pediatrics, Sc's NPI number?

The NPI number for Milestone Pediatrics, Sc is 1417607136. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Milestone Pediatrics, Sc located?

Milestone Pediatrics, Sc is located at 20611 Watertown Rd Ste D&e, Waukesha, WI 53186. The listed phone number is (262) 256-0676.

What is Milestone Pediatrics, Sc's specialty?

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

Does Milestone Pediatrics, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2262663) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Milestone Pediatrics, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Quartz list Milestone Pediatrics, Sc 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 Milestone Pediatrics, Sc was last updated on August 25, 2022. 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.