JEID SC
NPI 1457625709
Internal Medicine - Infectious Disease in Milwaukee, WI

Active since March 05, 2012
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 649-6000(414) 649-1325 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2023, May 11, 2021 (2 updates tracked since 2021).

About Jeid Sc NPPES

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

JEID SC (NPI 1457625709) is a healthcare organization registered as an infectious disease in Milwaukee, Wisconsin and active in the NPI registry since March 2012. The organization maintains a secondary practice location in Milwaukee and lists Jairo A Eraso Zamaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1457625709
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameJEID SC
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing AddressPo Box 71807Richmond, VA 23255-1807 · (804) 350-2889 · Fax (804) 612-5201
Fax(414) 649-1325
Organization SubpartNo
Authorized OfficialJairo A Eraso ZamaroOwner · (414) 364-3037
Enumeration DateMarch 5, 2012
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1457625709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in WI · 50877-20
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2900 W OKLAHOMA AVE, Milwaukee, WI 53215

Secondary Practice Location 1

Location 13237 S 16th StMilwaukee, WI 53215-4526 · Phone (414) 647-5000

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

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)

Jeid Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20120608000182Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeid Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1760664940
2900 W OKLAHOMA AVE
Milwaukee, WI 53215
(414) 649-6000
✔ PECOS✔ Accepts MedicareSame address

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 Jeid Sc's NPI number?

The NPI number for Jeid Sc is 1457625709. It was assigned to this organization in the NPPES registry on March 5, 2012.

Where is Jeid Sc located?

Jeid Sc is located at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 649-6000.

What is Jeid Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Jeid Sc enrolled in Medicare?

Yes. Jeid Sc is registered in the Medicare PECOS enrollment system.

When is Jeid 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 January 31, 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 Jeid Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Jeid Sc. 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 Jeid Sc was last updated on February 22, 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.