ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
NPI 1609881077
Internal Medicine in Glendale, WI

Q: What is Ascension Medical Group-Southeast Wisconsin Inc's specialty?

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

Active since July 31, 2006

400 W RIVER WOODS PKWY, GLENDALE, WI 53212(414) 465-3000 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Mar 28, 2023, Feb 3, 2023 and 8 more (11 updates tracked since 2017).

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About Ascension Medical Group-southeast Wisconsin Inc NPPES

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

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (NPI 1609881077), doing business as Ascension Medical Group, is a healthcare organization registered as an internal medicine in Glendale, Wisconsin and active in the NPI registry since July 2006. The organization lists David Jirovec, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1609881077

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC

Location Address400 W RIVER WOODS PKWYGlendale, WI 53212

Mailing Address400 W River Woods PkwyGlendale, WI 53212-1060 · (414) 465-3000

Phone(414) 465-3000

Organization SubpartNo

Authorized OfficialDavid JirovecFinance Director · (715) 347-6655

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 202611 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1609881077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedUrologyTaxonomy 208800000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

400 W RIVER WOODS PKWY, Glendale, WI 53212

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Other Names 1

Doing Business AsAscension Medical Group

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health.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)

Ascension Medical Group-southeast Wisconsin Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,337

Medicare enrollment records show 1,337 clinicians reassign Medicare billing to Ascension Medical Group-Southeast Wisconsin Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 410 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner297

Internal Medicine167

Family Practice103

Hospitalist79

Psychiatry71

Obstetrics/Gynecology59

Neurology57

Cardiovascular Disease (Cardiology)38

51 other specialties466

Nearest to this location (20)

See all 1,337

Shana Greenwich

Mental Health Counselor

NPI 1295211951

400 W RIVER WOODS PKWY
Glendale, WI 53212

(414) 874-6288

✔ PECOSSame address

David Schuster, NP

Nurse Practitioner

NPI 1427723170

400 W RIVER WOODS PKWY
Glendale, WI 53212

(414) 585-1000

✔ PECOS✔ Accepts MedicareSame address

James Troken, D.O.

Cardiovascular Disease (Cardiology)

NPI 1538515101

400 W RIVER WOODS PKWY
Glendale, WI 53212

(414) 259-7200

✔ PECOS✔ Accepts MedicareSame address

Kenneth Berg, M.D.

Orthopedic Surgery

NPI 1578981213

525 W RIVER WOODS PKWY STE 100
Glendale, WI 53212

(414) 332-6262

✔ PECOS✔ Accepts Medicare0.3 mi

David Meister, M.D.

Orthopedic Surgery

NPI 1881919892

525 W RIVER WOODS PKWY SUITE 230
Glendale, WI 53212

(414) 453-7418

✔ PECOS✔ Accepts Medicare0.3 mi

Kelly Richards, FNP

Nurse Practitioner

NPI 1336433879

210 W CAPITOL DR
Milwaukee, WI 53212

(414) 906-5306

✔ PECOS✔ Accepts Medicare0.7 mi

Barry Gimbel, MD

Cardiovascular Disease (Cardiology)

NPI 1093715856

5150 N PORT WASHINGTON RD STE 249
Milwaukee, WI 53217

(414) 964-0000

✔ PECOS✔ Accepts Medicare0.8 mi

Kevin Packman, MD

General Surgery

NPI 1437159399

5150 N PORT WASHINGTON RD SUITE 151
Milwaukee, WI 53217

(414) 332-1000

✔ PECOS✔ Accepts Medicare0.8 mi

Gretchen Mccool, CNM

Certified Nurse Midwife (CNM)

NPI 1720336274

801 E CAPITOL DR
Milwaukee, WI 53212

(844) 493-1052

✔ PECOS1.0 mi

Ashley Holdridge, D.O.

Neurology

NPI 1790003549

325 E SILVER SPRING DR
Whitefish Bay, WI 53217

(414) 247-4800

✔ PECOS✔ Accepts Medicare1.3 mi

Jonathan Shaffer, D.O.

Internal Medicine

NPI 1437513173

4600 N CRAMER ST
Whitefish Bay, WI 53211

(614) 937-2615

✔ PECOS1.3 mi

Pamela Ogor, D.O.

Family Practice

NPI 1568578052

3970 N OAKLAND AVE 2ND FLOOR
Shorewood, WI 53211

(414) 527-5690

✔ PECOS✔ Accepts Medicare1.5 mi

Yongjie Ma

Nurse Practitioner

NPI 1316483076

3838 N OAKLAND AVE APT 274
Milwaukee, WI 53211

(414) 306-1961

✔ PECOS✔ Accepts Medicare1.6 mi

Daniel Perrault, MD

Emergency Medicine

NPI 1790777423

2400 W VILLARD AVE
Milwaukee, WI 53209

(414) 527-8181

✔ PECOS✔ Accepts Medicare1.8 mi

Kamal Amin, M.D.

Nephrology

NPI 1265406516

5650 N GREEN BAY AVE STE 210
Glendale, WI 53209

(414) 431-5971

✔ PECOS✔ Accepts Medicare1.8 mi

Ryan Roney, MD

Anesthesiology

NPI 1942233499

2683 N SUMMIT AVE
Milwaukee, WI 53211

(503) 710-4384

✔ PECOS✔ Accepts Medicare2.9 mi

Salomon Cohen Cohen, MD

Neurosurgery

NPI 1154826808

2311 N PROSPECT AVE
Milwaukee, WI 53211

(414) 319-3000

✔ PECOS✔ Accepts Medicare3.1 mi

Tanner Fullmer

Otolaryngology

NPI 1285028753

2311 N PROSPECT AVE
Milwaukee, WI 53211

(414) 319-3000

✔ PECOS✔ Accepts Medicare3.1 mi

Andrew Kamien, M.D.

General Surgery

NPI 1285980441

2311 N PROSPECT AVE
Milwaukee, WI 53211

(414) 319-3000

✔ PECOS✔ Accepts Medicare3.1 mi

Maurice Chung, M.D.

Gastroenterology

NPI 1124042015

2311 N PROSPECT AVE
Milwaukee, WI 53211

(414) 319-3000

✔ PECOS✔ Accepts Medicare3.1 mi

See all 1,337 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 Ascension Medical Group-Southeast Wisconsin Inc's NPI number?

The NPI number for Ascension Medical Group-Southeast Wisconsin Inc is 1609881077. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Ascension Medical Group.

Where is Ascension Medical Group-Southeast Wisconsin Inc located?

Ascension Medical Group-Southeast Wisconsin Inc is located at 400 W River Woods Pkwy, Glendale, WI 53212. The listed phone number is (414) 465-3000.

What is Ascension Medical Group-Southeast Wisconsin Inc's specialty?

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

Is Ascension Medical Group-Southeast Wisconsin Inc enrolled in Medicare?

Yes. Ascension Medical Group-Southeast Wisconsin Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ascension Medical Group-Southeast Wisconsin Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,337 clinicians in 59 Medicare specialties reassign their Medicare billing to Ascension Medical Group-Southeast Wisconsin Inc. 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 Nurse Practitioner (297), Internal Medicine (167) and Family Practice (103). Of these, 3 practice at this address and 410 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ascension Medical Group-Southeast Wisconsin Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Ascension Medical Group-Southeast Wisconsin Inc 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 Ascension Medical Group-Southeast Wisconsin Inc was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.