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EUGENE ENRIQUEZ MD
NPI 1639309453
Hospitalist in New Berlin, WI

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
5665 GOLDEN RAIN CT, NEW BERLIN, WI 53151(509) 823-4283 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2022, Dec 29, 2021, Nov 16, 2015 (3 updates tracked since 2015).

About Eugene Enriquez Md NPPES

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

EUGENE ENRIQUEZ MD (NPI 1639309453) is an individual hospitalist provider in New Berlin, Wisconsin, licensed in Wisconsin (63615) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1639309453
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameEUGENE ENRIQUEZCredential: MD
Location Address5665 GOLDEN RAIN CTNew Berlin, WI 53151-8733
Mailing Address5665 Golden Rain CtNew Berlin, WI 53151-8733 · (509) 823-4283
Phone(509) 823-4283
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 15, 2009
Last NPPES UpdateMay 19, 20223 updates tracked since enumeration
NPPES CertifiedMay 19, 2022
✔ NPI 1639309453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WI · 63615✔ Licensed in WA · MD60270683
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.
5665 GOLDEN RAIN CT, New Berlin, WI 53151
Open in Google Maps ↗

Other Identifiers 1

Medicaid100045046WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eugene Enriquez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890941116
PECOS Enrollment IDI20150730012221
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 Reassignment

Medicare enrollment records show Eugene Enriquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.
5.1 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650

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 5

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.
251 services94 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.
185 services72 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.
78 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services24 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.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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.

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 Eugene Enriquez's NPI number?

The NPI number for Eugene Enriquez is 1639309453. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Eugene Enriquez located?

Eugene Enriquez practices at 5665 Golden Rain Ct, New Berlin, WI 53151. The listed phone number is (509) 823-4283.

What is Eugene Enriquez's specialty?

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

Is Eugene Enriquez enrolled in Medicare?

Yes. Eugene Enriquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eugene Enriquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eugene Enriquez reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The 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 Eugene Enriquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eugene Enriquez accept?

Health plans from CareSource (Common Ground Healthcare) list Eugene Enriquez 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.

Is Eugene Enriquez affiliated with any hospitals?

According to CMS data, Eugene Enriquez is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Eugene Enriquez was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.