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

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: August 09, 2026.

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
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

Secondary Practice Locations 2

Location 1791 Summit AveOconomowoc, WI 53066-3896 · Phone (262) 569-0259
Location 2240 Maple AveMukwonago, WI 53149-8475 · Phone (262) 521-7761

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Social Worker (Clinical)
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Obstetrics & Gynecology)
725 AMERICAN AVE, PROHEALTH CARE WOMEN'S CENTER
WAUKESHA, WI 53188
Physician Assistant
725 AMERICAN AVE
WAUKESHA, WI 53188
Anesthesiology
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Acute Care)
725 AMERICAN AVE
WAUKESHA, WI 53188
Nurse Practitioner (Neonatal)
725 AMERICAN AVE
WAUKESHA, WI 53188

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.

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.