COMMONWEALTH MEDICAL GROUP, LLC
NPI 1477500361
Internal Medicine in West Allis, WI

Active since May 27, 2006
851 S 70TH ST, SUITE 101, WEST ALLIS, WI 53214(414) 777-5100(414) 777-5112 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Commonwealth Medical Group, Llc NPPES

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

COMMONWEALTH MEDICAL GROUP, LLC (NPI 1477500361) is a healthcare organization registered as an internal medicine in West Allis, Wisconsin and active in the NPI registry since May 2006. The organization lists John A. Mutschelknaus, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477500361
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOMMONWEALTH MEDICAL GROUP, LLC
Location Address851 S 70TH ST, SUITE 101West Allis, WI 53214-3147
Mailing Address851 S 70th St, Suite 101West Allis, WI 53214-3147 · (414) 777-5100 · Fax (414) 777-5112
Fax(414) 777-5112
Organization SubpartNo
Authorized OfficialJohn A. MutschelknausExecutive Director · (414) 777-5100
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 9, 2007
NPI 1477500361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 1314-029 (WI)
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapist · HandTaxonomy 2251H1200X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
851 S 70TH ST, West Allis, WI 53214

Other Identifiers 5

Medicaid21251000WI
Medicare ID-Type Unspecified83880WI · Pt Group Medicare Number
Medicare ID-Type Unspecified83250WI · Pt Group Medicare Number
Medicare ID-Type Unspecified02475WI · Group Medicare Number
Medicare ID-Type Unspecified68175WI · Group Medicare Number

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

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 Commonwealth Medical Group, LLC's NPI number?

The NPI number for Commonwealth Medical Group, LLC is 1477500361. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Commonwealth Medical Group, LLC located?

Commonwealth Medical Group, LLC is located at 851 S 70th St Suite 101, West Allis, WI 53214. The listed phone number is (414) 777-5100.

What is Commonwealth Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Commonwealth Medical Group, LLC was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.