MEQUON VASCULAR ASSOCIATES, S.C.
NPI 1619485976
Family Medicine in Brookfield, WI

Active since January 19, 2018CLIA Certified · 2 labs
17280 W NORTH AVE STE 200, BROOKFIELD, WI 53045(262) 240-9640(262) 293-9659 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2025, Mar 4, 2025, Sep 24, 2024 and 3 more (6 updates tracked since 2018).

About Mequon Vascular Associates, S.c. NPPES

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

MEQUON VASCULAR ASSOCIATES, S.C. (NPI 1619485976), doing business as Mequon Vein & Laser Center, is a healthcare organization registered as a family medicine in Brookfield, Wisconsin and active in the NPI registry since January 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Germantown, and lists Jeffrey T Sabatino, Owner, as its authorized official.

NPPES Registry Identity

NPI1619485976
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEQUON VASCULAR ASSOCIATES, S.C.
Location Address17280 W NORTH AVE STE 200Brookfield, WI 53045-4366
Mailing Address17280 W North Ave Ste 200Brookfield, WI 53045-4366 · (262) 240-9640 · Fax (262) 293-9659
Fax(262) 293-9659
Organization SubpartNo
Authorized OfficialJeffrey T SabatinoOwner · (262) 240-9640
Enumeration DateJanuary 19, 2018
Last NPPES UpdateNovember 4, 20256 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1619485976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhlebologyTaxonomy 202K00000X
17280 W NORTH AVE STE 200, Brookfield, WI 53045

Other Names 1

Doing Business AsMequon Vein & Laser Center

Secondary Practice Location 1

Location 1W189N11100 Kleinmann Dr Ste 105Germantown, WI 53022-3809 · Phone (262) 240-9640

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)

Mequon Vascular Associates, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mequon Vascular Associates, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1336227834
17280 W NORTH AVE STE 200
Brookfield, WI 53045
(262) 240-9640
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2225056

Mequon Vascular Associates, Sc · Brookfield, WI
Active · expires May 17, 2027
CLIA Number52D2225056
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDr. Jeffrey T. Sabatino
Laboratory Phone(262) 240-9640
Laboratory LocationMequon Vascular Associates, Sc17280 W North Ave, Ste 200, Brookfield, WI 53045
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2225059

Mequon Vascular Associates, Sc · Germantown, WI
Active · expires May 17, 2027
CLIA Number52D2225059
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDr. Jeffrey T. Sabatino
Laboratory Phone(262) 240-9640
Laboratory LocationMequon Vascular Associates, ScW189 N11100 Kleinmann Dr #105, Germantown, WI 53022
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mequon Vascular Associates, S.C.'s NPI number?

The NPI number for Mequon Vascular Associates, S.C. is 1619485976. It was assigned to this organization in the NPPES registry on January 19, 2018. The provider is doing business as Mequon Vein & Laser Center.

Where is Mequon Vascular Associates, S.C. located?

Mequon Vascular Associates, S.C. is located at 17280 W North Ave Ste 200, Brookfield, WI 53045. The listed phone number is (262) 240-9640.

What is Mequon Vascular Associates, S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mequon Vascular Associates, S.C. enrolled in Medicare?

Yes. Mequon Vascular Associates, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mequon Vascular Associates, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mequon Vascular Associates, S.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mequon Vascular Associates, S.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mequon Vascular Associates, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Mequon Vascular Associates, S.C. 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 Mequon Vascular Associates, S.C. was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.