PRATIK JIVANI M.D.
NPI 1598056756
Hospitalist in Waukesha, WI

Q: What is Pratik Jivani's NPI number?

The NPI number for Pratik Jivani is 1598056756. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Q: What is Pratik Jivani's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Pratik Jivani was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 22, 2011PECOS Enrolled

725 AMERICAN AVE, WAUKESHA, WI 53188(262) 928-5400(262) 928-6140 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pratik Jivani M.d. NPPES

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

PRATIK JIVANI M.D. (NPI 1598056756) is an individual hospitalist provider in Waukesha, Wisconsin, licensed in Wisconsin (55672) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598056756

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NamePRATIK JIVANICredential: M.D.

Location Address725 AMERICAN AVEWaukesha, WI 53188-5031

Mailing Address725 American AveWaukesha, WI 53188-5031 · (262) 928-5400 · Fax (262) 928-6140

Phone(262) 928-5400

Fax(262) 928-6140

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 22, 2011

Last NPPES UpdateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1598056756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 55672

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 55672-20 (WI)

725 AMERICAN AVE, Waukesha, WI 53188

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1240 Maple AveMukwonago, WI 53149-8475 · Phone (262) 521-7761

Location 2791 Summit AveOconomowoc, WI 53066-3896 · Phone (262) 569-0259

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratik Jivani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840476024

PECOS Enrollment IDI20110524000535

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Pratik Jivani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group Waukesha, Sc

Same address

Hospitalist

725 AMERICAN AVE
Waukesha, WI 53188

Reassigned Medicare billing, Wisconsin enrollment
81 clinicians in this Medicare group

NPI 1528544608 (262) 928-5400

Apogee Medical Group, Wisconsin, S.C

1,434 mi

Internal Medicine

15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Apogee Medical Group Wisconsin Sc
112 clinicians in this Medicare group

NPI 1629415591 (602) 778-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

426 services173 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

138 services134 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

90 services88 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520062

Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers46 claims46 services$15.43 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers59 claims59 services$67.02 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$31.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NATASHA JEAN PINKERTON LCSW

Social Worker (Clinical)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

DR. FRANCISCO PEREZ M.D.

Anesthesiology

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 544-2011

ANNETTE QUINN NP

Nurse Practitioner (Obstetrics & Gynecology)

725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188

Waukesha County (262) 928-3500

ELIZABETH ROSE LEMM PA-C

Physician Assistant

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

DR. JASON GEORGE ULRICHS M.D.

Anesthesiology

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 787-6700

DAWN MICHELLE GOODREAU NNP-BC, APNP

Nurse Practitioner (Neonatal)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (210) 685-0887

DR. ALYSSA JELINEK

Nurse Practitioner (Neonatal)

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

TIFFANY BOWDEN PA

Physician Assistant

725 AMERICAN AVE
WAUKESHA, WI 53188

Waukesha County (262) 928-1000

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 Pratik Jivani's NPI number?

The NPI number for Pratik Jivani is 1598056756. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is Pratik Jivani located?

Pratik Jivani practices at 725 American Ave, Waukesha, WI 53188. The listed phone number is (262) 928-5400.

What is Pratik Jivani's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pratik Jivani enrolled in Medicare?

Yes. Pratik Jivani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pratik Jivani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratik Jivani reassigns Medicare benefits to 2 organizations: Apogee Medical Group Waukesha, Sc (Waukesha, WI) and Apogee Medical Group, Wisconsin, S.C (Scottsdale, AZ). 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 Pratik Jivani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pratik Jivani affiliated with any hospitals?

According to CMS data, Pratik Jivani is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pratik Jivani was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.