GBR SHEBOYGAN LLC
NPI 1467529917
Radiology - Diagnostic Radiology in Sheboygan, WI

Active since November 29, 2006
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081(920) 964-0480(920) 336-8093 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Mar 5, 2024 (2 updates tracked since 2024).

About Gbr Sheboygan Llc NPPES

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

GBR SHEBOYGAN LLC (NPI 1467529917) is a healthcare organization registered as a diagnostic radiology in Sheboygan, Wisconsin and active in the NPI registry since November 2006. The organization lists Jimmy Dado, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1467529917
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGBR SHEBOYGAN LLC
Location Address3100 SUPERIOR AVESheboygan, WI 53081-1948
Mailing Address2941 S Ridge RdGreen Bay, WI 54304-5517 · (920) 336-4096 · Fax (920) 336-8093
Fax(920) 336-8093
Organization SubpartNo
Authorized OfficialJimmy DadoDirector Of Revenue Cycle · (614) 325-8899
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1467529917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3100 SUPERIOR AVE, Sheboygan, WI 53081

Other Identifiers 1

Medicaid21284500WI

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gbr Sheboygan Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Gbr Sheboygan LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology29
Interventional Radiology1
Nurse Practitioner1

Nearest to this location (20)

See all 31
Diagnostic Radiology
NPI 1811263304
10945 N PORT WASHINGTON RD STE 201
Mequon, WI 53092
(262) 292-3151
✔ PECOS✔ Accepts Medicare39 mi
Diagnostic Radiology
NPI 1487688016
10945 N PORT WASHINGTON RD STE 201
Mequon, WI 53092
(414) 434-0461
✔ PECOS✔ Accepts Medicare39 mi
Diagnostic Radiology
NPI 1952339814
2845 GREENBRIER RD
Green Bay, WI 54311
(920) 288-4930
✔ PECOS✔ Accepts Medicare50 mi
Diagnostic Radiology
NPI 1366671125
9200 W WISCONSIN AVE DEPT OF RADIOLOGY
Milwaukee, WI 53226
(414) 805-3700
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1073668059
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS52 mi
Diagnostic Radiology
NPI 1083630776
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1053467456
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1619023009
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1447480256
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1245307719
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1760543532
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1578514287
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1407901481
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1669738043
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1497198022
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1790704724
2941 S RIDGE RD
Green Bay, WI 54304
(920) 964-0480
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1578619979
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1033187927
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Diagnostic Radiology
NPI 1003962416
2941 S RIDGE RD
Green Bay, WI 54304
(920) 336-4096
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1831681402
1300 E GREEN BAY ST
Shawano, WI 54166
(715) 201-0870
✔ PECOS✔ Accepts Medicare82 mi
See all 31 clinicians

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 Gbr Sheboygan LLC's NPI number?

The NPI number for Gbr Sheboygan LLC is 1467529917. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Gbr Sheboygan LLC located?

Gbr Sheboygan LLC is located at 3100 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 964-0480.

What is Gbr Sheboygan LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gbr Sheboygan LLC enrolled in Medicare?

Yes. Gbr Sheboygan LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gbr Sheboygan LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 3 Medicare specialties reassign their Medicare billing to Gbr Sheboygan LLC. 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. The largest specialties are Diagnostic Radiology (29), Interventional Radiology (1) and Nurse Practitioner (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gbr Sheboygan LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Dean Health Plan list Gbr Sheboygan LLC 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 Gbr Sheboygan LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.