CALVIN THOMAS DASSOW AA
NPI 1780491464
Anesthesiologist Assistant in Milwaukee, WI

Q: What is Calvin Dassow's NPI number?

The NPI number for Calvin Dassow is 1780491464. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Q: What is Calvin Dassow's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Calvin Dassow was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 16, 2024Accepts Medicare Assignment

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-8700(414) 259-1522 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Dec 16, 2024 (2 updates tracked since 2024).

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About Calvin Thomas Dassow Aa NPPES

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

CALVIN THOMAS DASSOW AA (NPI 1780491464) is an individual anesthesiologist assistant in Milwaukee, Wisconsin, licensed in Wisconsin (568) and active in the NPI registry since December 2024. He is affiliated with Community Memorial Hospital, maintains 2 additional practice locations, and is a graduate of Medical College Of Wisconsin (2024).

NPPES Registry Identity

NPI1780491464

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameCALVIN THOMAS DASSOWCredential: AA

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-8700 · Fax (414) 259-1522

Phone(414) 805-8700

Fax(414) 259-1522

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2024

Enumeration DateDecember 16, 2024

Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1780491464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in WI · 568

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

9200 W WISCONSIN AVE, Milwaukee, WI 53226

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Secondary Practice Locations 2

Location 1900 N 92nd StWauwatosa, WI 53226-1202 · Phone (414) 805-3000

Location 2W180N8085 Town Hall RdMenomonee Falls, WI 53051-3518 · Phone (262) 251-1000

Other Identifiers 1

Medicaid1780491464WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Calvin Thomas Dassow Aa 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 ID9739617093

PECOS Enrollment IDI20250114002651

Hospital Affiliations CMS Care Compare 2

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

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520103

LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County

Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

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 Calvin Dassow's NPI number?

The NPI number for Calvin Dassow is 1780491464. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Calvin Dassow located?

Calvin Dassow practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-8700.

What is Calvin Dassow's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Calvin Dassow enrolled in Medicare?

Yes. Calvin Dassow 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.

Is Calvin Dassow affiliated with any hospitals?

According to CMS data, Calvin Dassow is affiliated with Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Calvin Dassow was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.