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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEROME VAN RUISWYK MD
NPI 1790736460
Internal Medicine in Milwaukee, WI

Active since May 15, 2006PECOS Enrolled
1821 N 16TH ST, MILWAUKEE, WI 53205(414) 805-6850(414) 977-0001 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jerome Van Ruiswyk Md NPPES

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

DR. JEROME VAN RUISWYK MD (NPI 1790736460) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (27915) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790736460
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JEROME VAN RUISWYKCredential: MD
Location Address1821 N 16TH STMilwaukee, WI 53205-1626
Mailing Address1821 N 16th StMilwaukee, WI 53205-1626 · (414) 805-6850 · Fax (414) 977-0001
Phone(414) 805-6850
Fax(414) 977-0001
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1790736460 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 · 27915
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.
1821 N 16TH ST, Milwaukee, WI 53205
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Other Identifiers 2

Medicaid1790736460WI
Other002000139UHumana

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. Jerome Van Ruiswyk 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53205 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 4

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

PROF. PAUL JOSEPH HOFFMANN RPH
Pharmacist (Ambulatory Care)
1821 N 16TH ST
MILWAUKEE, WI 53205
Milwaukee County (414) 977-0001
ALEXANDRIA J LARA
Student in an Organized Health Care Education/Training Program
1821 N 16TH ST
MILWAUKEE, WI 53205
Milwaukee County (414) 977-0001
MICHAEL LUTZ LPC
Counselor (Professional)
1821 N 16TH ST
MILWAUKEE, WI 53205
Milwaukee County (414) 977-0001
MRS. MARY MARGARET SCHNEIDER APNP
Registered Nurse (General Practice)
1821 N 16TH ST
MILWAUKEE, WI 53205
Milwaukee County (414) 755-6970

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 Jerome Van Ruiswyk's NPI number?

The NPI number for Jerome Van Ruiswyk is 1790736460. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Jerome Van Ruiswyk located?

Jerome Van Ruiswyk practices at 1821 N 16th St, Milwaukee, WI 53205. The listed phone number is (414) 805-6850.

What is Jerome Van Ruiswyk's specialty?

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

Is Jerome Van Ruiswyk enrolled in Medicare?

Yes. Jerome Van Ruiswyk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerome Van Ruiswyk was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.