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DR. MARY SUSAN JAY MD
NPI 1649221482
Pediatrics - Adolescent Medicine in Milwaukee, WI

Active since May 15, 2006PECOS Enrolled
8915 W CONNELL AVE, MILWAUKEE, WI 53226(414) 266-2873(414) 337-7860 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Susan Jay Md NPPES

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

DR. MARY SUSAN JAY MD (NPI 1649221482) is an individual adolescent medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (47315) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649221482
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MARY SUSAN JAYCredential: MD
Location Address8915 W CONNELL AVEMilwaukee, WI 53226-3067
Mailing Address8915 W Connell AveMilwaukee, WI 53226-3067 · (414) 266-2873 · Fax (414) 337-7860
Phone(414) 266-2873
Fax(414) 337-7860
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 3, 2019
✔ NPI 1649221482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in WI · 47315
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
8915 W CONNELL AVE, Milwaukee, WI 53226
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Secondary Practice Locations 2

Location 16809 122nd AveKenosha, WI 53142-7335 · Phone (877) 607-5280
Location 29000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-2754 · Fax (414) 337-7860

Other Identifiers 3

Medicaid1649221482WI
Other000030377MHumana
Medicaid34582200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Susan Jay Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DEMI ELISABETH HAGEN PA-C
Physician Assistant
8915 W CONNELL AVE
WAUWATOSA, WI 53226
Milwaukee County (414) 266-2626
DR. ANNA ELIZABETH DZIAMSKI MD
Anesthesiology
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
DR. KELSEY ANN FREY MD
Pediatrics
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
ELIZABETH ANNE RODRIGUEZ
Nurse Practitioner (Neonatal, Critical Care)
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
KEERTHANA PITTALA DO
Student in an Organized Health Care Education/Training Program
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
ANNA ERICKSON PHARMD
Pharmacist
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (952) 913-9150
HALLI KOENIG
Registered Nurse
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
DARSH KURANI DO
Student in an Organized Health Care Education/Training Program
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 267-2833

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 Mary Susan Jay's NPI number?

The NPI number for Mary Susan Jay is 1649221482. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Mary Susan Jay located?

Mary Susan Jay practices at 8915 W Connell Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-2873.

What is Mary Susan Jay's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Mary Susan Jay enrolled in Medicare?

Yes. Mary Susan Jay is registered in the Medicare PECOS enrollment system.

What insurance does Mary Susan Jay accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Mary Susan Jay 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 Mary Susan Jay was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.