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DR. SAMUEL H IDARRAGA M.D.
NPI 1700850070
Internal Medicine in Wauwatosa, WI

Active since February 14, 2006PECOS Enrolled
2645 N MAYFAIR RD, SUITE 200, WAUWATOSA, WI 53226(414) 479-1800 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel H Idarraga M.d. NPPES

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

DR. SAMUEL H IDARRAGA M.D. (NPI 1700850070) is an individual internal medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (33511-020) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1989).

NPPES Registry Identity

NPI1700850070
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMUEL H IDARRAGACredential: M.D.
Location Address2645 N MAYFAIR RD, SUITE 200Wauwatosa, WI 53226-1304
Mailing Address2645 N Mayfair Rd, Suite 200Wauwatosa, WI 53226-1304 · (414) 479-1800
Phone(414) 479-1800
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateFebruary 14, 2006
Last NPPES UpdateMarch 2, 2010
✔ NPI 1700850070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 33511-020
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.
2645 N MAYFAIR RD, Wauwatosa, WI 53226
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified00101170
Medicare UPINF38746

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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. Samuel H Idarraga M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769671346
PECOS Enrollment IDI20110502000368
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LULA F REAMS
Psychologist
2645 N MAYFAIR RD, SUITE 120
WAUWATOSA, WI 53226
Milwaukee County (414) 302-9200
JAMES FRANK PECHLOFF JR. DDS
Dentist
2645 N MAYFAIR RD, SUITE 240
WAUWATOSA, WI 53226
Milwaukee County (414) 475-5505
DR. ANDREW C KIM MD
Internal Medicine
2645 N MAYFAIR RD, #200
WAUWATOSA, WI 53226
Milwaukee County (414) 479-1800
MS. TAMECA NICOLE WALTON
Registered Nurse
2645 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 509-7114
DR. ELIZABETH HOOD D.C.
Chiropractor
2645 N MAYFAIR RD, SUITE 140
WAUWATOSA, WI 53226
Milwaukee County (414) 476-2225
RPAV MARKETING LLC
Clinic/Center (Health Service)
2645 N MAYFAIR RD
WAUWATOSA, WI 53226
Milwaukee County (773) 317-4888
DR. KATHLEEN BRODERICK WOODY PSY.D.
Psychologist (Clinical)
2645 N MAYFAIR RD, SUITE 130
WAUWATOSA, WI 53226
Milwaukee County (414) 256-0077
ALLEGIANCE RESEARCH SPECIALISTS, LLC
Specialist (Research Study)
2645 N MAYFAIR RD, SUITE 200
MILWAUKEE, WI 53226
Milwaukee County (414) 727-8131

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 Samuel Idarraga's NPI number?

The NPI number for Samuel Idarraga is 1700850070. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Samuel Idarraga located?

Samuel Idarraga practices at 2645 N Mayfair Rd Suite 200, Wauwatosa, WI 53226. The listed phone number is (414) 479-1800.

What is Samuel Idarraga's specialty?

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

Is Samuel Idarraga enrolled in Medicare?

Yes. Samuel Idarraga is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Idarraga accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Samuel Idarraga 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 Samuel Idarraga affiliated with any hospitals?

According to CMS data, Samuel Idarraga is affiliated with Waukesha Memorial Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Idarraga was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.