1. Home
  2. Directory
  3. Wisconsin
  4. Waukesha
  5. Family Medicine
  6. NPI Profile

PROHEALTH MEDICAL GROUP INC
NPI 1760523559
Family Medicine in Waukesha, WI

Active since February 12, 2007CLIA 52D0941616 · Microscopy
2130 BIG BEND RD, WAUKESHA, WI 53189(262) 928-7555(262) 928-7575 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 24, 2022, Sep 8, 2021 (2 updates tracked since 2021).

About Prohealth Medical Group Inc NPPES

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

PROHEALTH MEDICAL GROUP INC (NPI 1760523559) is a healthcare organization registered as a family medicine in Waukesha, Wisconsin and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through February 26, 2028 and lists Peter Geiss, Md, President, as its authorized official.

NPPES Registry Identity

NPI1760523559
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROHEALTH MEDICAL GROUP INC
Location Address2130 BIG BEND RDWaukesha, WI 53189-7624
Mailing AddressN17w24100 Riverwood Dr, Suite 250Waukesha, WI 53188-1177 · (262) 928-4100 · Fax (262) 928-5835
Phone(262) 928-7555
Fax(262) 928-7575
Organization SubpartYes
Authorized OfficialPeter Geiss, MdPresident · (262) 928-8669
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1760523559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedSurgeryTaxonomy 208600000X
2130 BIG BEND RD, Waukesha, WI 53189
Open in Google Maps ↗

Other Identifiers 1

Medicaid32818900WI

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prohealth Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20120106000760DME · Physician - General PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

527

Medicare enrollment records show 527 clinicians reassign Medicare billing to Prohealth Medical Group Inc, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 267 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Nurse Practitioner174
Family Practice83
Clinical Social Worker26
Diagnostic Radiology25
Physical Therapist in Private Practice20
Internal Medicine19
Mental Health Counselor18
Cardiovascular Disease (Cardiology)14
33 other specialties148

Nearest to this location (20)

See all 527
Lindsay Mantey, APNP
Nurse Practitioner
NPI 1912631318
2130 BIG BEND RD
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Caryn Brownell, M.D.
Family Practice
NPI 1689647406
2130 BIG BEND ROAD PROHEALTH CARE MEDICAL ASSOCIATES, INC.
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Carrie Gajafsky, APNP
Nurse Practitioner
NPI 1518930130
2130 BIG BEND ROAD PROHEALTH CARE MEDICAL ASSOCIATES, INC
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Kathleen Brass, M.D., PHD
Family Practice
NPI 1083815690
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Reyhan Demircioglu, MD
Internal Medicine
NPI 1215085857
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC.
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Megan Edwards, MD
Family Practice
NPI 1821011933
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC.
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Steven Klemish, M.D.
Family Practice
NPI 1457324279
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES, INC.
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Tracy Lewis, M.D.
Family Practice
NPI 1184697906
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC.
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
William Lutz, MD
Internal Medicine
NPI 1346237625
2130 BIG BEND RD
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Thomas Sheedy, M.D.
Pediatric Medicine
NPI 1053383695
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC.
Waukesha, WI 53189
(262) 928-7555
✔ PECOSSame address
Margo Sherman, MD
Family Practice
NPI 1780919423
2130 BIG BEND RD PROHEALTH CARE MEDICAL ASSOCIATES INC
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Kathryn Hughes, MD
Family Practice
NPI 1437544574
2130 BIG BEND RD
Waukesha, WI 53189
(262) 513-7555
✔ PECOS✔ Accepts MedicareSame address
Jonathan Mueller, APNP
Nurse Practitioner
NPI 1265909949
2130 BIG BEND RD
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Melanie Fasano, APNP
Nurse Practitioner
NPI 1629891809
2130 BIG BEND RD
Waukesha, WI 53189
(262) 928-7555
✔ PECOS✔ Accepts MedicareSame address
Jessica Drifka
Nurse Practitioner
NPI 1467305268
2300 BADGER DR
Waukesha, WI 53188
(262) 896-2400
✔ PECOS2.5 mi
David Roelke, M.D.
Diagnostic Radiology
NPI 1073593455
725 AMERICAN AVE
Waukesha, WI 53188
(262) 928-2400
✔ PECOS✔ Accepts Medicare2.5 mi
Christopher Hake, MD
Medical Oncology
NPI 1871544619
725 AMERICAN AVE PHC REGIONAL CANCER CENTER
Waukesha, WI 53188
(262) 928-2570
✔ PECOS✔ Accepts Medicare2.5 mi
Natasha Pinkerton, LCSW
Clinical Social Worker
NPI 1003695255
725 AMERICAN AVE
Waukesha, WI 53188
(262) 928-1000
✔ PECOS✔ Accepts Medicare2.5 mi
Kevin Bustos, DO
Cardiovascular Disease (Cardiology)
NPI 1508483553
725 AMERICAN AVE
Waukesha, WI 53188
(262) 928-8800
✔ PECOS2.5 mi
Andrew Nemcek, DPT
Physical Therapist in Private Practice
NPI 1649818238
209 W MAIN ST
Waukesha, WI 53186
(262) 446-9488
✔ Accepts Medicare2.5 mi
See all 527 clinicians

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

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 for Provider-Performed Microscopy Procedures (PPMP) 52D0941616

Prohealth Medical Group, Inc - Waukesha Big Bend Road · Waukesha, WI
Active · expires Feb 26, 2028
CLIA Number52D0941616
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorDr. Steven W. Klemish
Laboratory Phone(262) 513-7555
Laboratory LocationProhealth Medical Group, Inc - Waukesha Big Bend Road2130 Big Bend Rd, Waukesha, WI 53189
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Prohealth Medical Group Inc's NPI number?

The NPI number for Prohealth Medical Group Inc is 1760523559. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Prohealth Medical Group Inc located?

Prohealth Medical Group Inc is located at 2130 Big Bend Rd, Waukesha, WI 53189. The listed phone number is (262) 928-7555.

What is Prohealth Medical Group Inc's specialty?

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

Is Prohealth Medical Group Inc enrolled in Medicare?

Yes. Prohealth Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Prohealth Medical Group Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Physician - General Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Prohealth Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 527 clinicians in 41 Medicare specialties reassign their Medicare billing to Prohealth Medical Group 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 (174), Family Practice (83) and Clinical Social Worker (26). Of these, 14 practice at this address and 267 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prohealth Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0941616) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prohealth Medical Group Inc was last updated on May 24, 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.