LANDMARK MEDICAL OF TENNESSEE PC
NPI 1821700188
General Practice in Milwaukee, WI

Active since December 19, 2022
125 S 84TH ST, MILWAUKEE, WI 53214(657) 237-2450 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Landmark Medical Of Tennessee Pc NPPES

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

LANDMARK MEDICAL OF TENNESSEE PC (NPI 1821700188) is a healthcare organization registered as a general practice in Milwaukee, Wisconsin and active in the NPI registry since December 2022. The organization lists Michael Huy Le, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1821700188
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF TENNESSEE PC
Location Address125 S 84TH STMilwaukee, WI 53214-1469
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152 · (657) 237-2450
Organization SubpartNo
Authorized OfficialMichael Huy LeChief Medical Officer · (657) 237-2450
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1821700188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
125 S 84TH ST, Milwaukee, WI 53214

Other Names 1

Other NameWisconsin

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Landmark Medical Of Tennessee Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Landmark Medical Of Tennessee PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1518511070
125 S 84TH ST
Milwaukee, WI 53214
(657) 237-2450
✔ PECOSSame address
Nurse Practitioner
NPI 1013464833
9200 W WISCONSIN AVE PULMONARY DISEASE
Milwaukee, WI 53226
(414) 955-7040
✔ PECOS0.7 mi
Nurse Practitioner
NPI 1225510001
1225 12TH AVE
Grafton, WI 53024
(833) 711-1970
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1902893860
397 LOUISIANA ST
Buffalo, NY 14204
(716) 847-6610
✔ PECOS✔ Accepts Medicare464 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Landmark Medical Of Tennessee PC's NPI number?

The NPI number for Landmark Medical Of Tennessee PC is 1821700188. It was assigned to this organization in the NPPES registry on December 19, 2022. The provider is also known as Wisconsin.

Where is Landmark Medical Of Tennessee PC located?

Landmark Medical Of Tennessee PC is located at 125 S 84th St, Milwaukee, WI 53214. The listed phone number is (657) 237-2450.

What is Landmark Medical Of Tennessee PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Landmark Medical Of Tennessee PC enrolled in Medicare?

Yes. Landmark Medical Of Tennessee PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Landmark Medical Of Tennessee PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Landmark Medical Of Tennessee PC. 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 (3) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Tennessee PC was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.