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ALLEGIANCE MEDICAL GROUP
NPI 1831862895
Internal Medicine in Oconomowoc, WI

Active since July 27, 2021CLIA 52D2328858 · Waiver
888 THACKERAY TRL STE 103, OCONOMOWOC, WI 53066(844) 726-3926(844) 726-3926 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2023, Jul 27, 2021 (2 updates tracked since 2021).

About Allegiance Medical Group NPPES

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

ALLEGIANCE MEDICAL GROUP (NPI 1831862895) is a healthcare organization registered as an internal medicine in Oconomowoc, Wisconsin and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Eric M Elliot, President, as its authorized official.

NPPES Registry Identity

NPI1831862895
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALLEGIANCE MEDICAL, INC.
Location Address888 THACKERAY TRL STE 103Oconomowoc, WI 53066-4342
Mailing Address925 Genesee St # 180620Delafield, WI 53018-9998 · (844) 726-3926 · Fax (844) 726-3926
Phone(844) 726-3926
Fax(844) 726-3926
Organization SubpartNo
Authorized OfficialEric M ElliotPresident · (844) 726-3926
Enumeration DateJuly 27, 2021
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1831862895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
888 THACKERAY TRL STE 103, Oconomowoc, WI 53066
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Other Names 1

Doing Business AsAllegiance Medical Group

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

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 of Waiver 52D2328858

Allegiance Medical, Sc · Oconomowoc, WI
Active · expires Aug 18, 2027
CLIA Number52D2328858
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorEric M. Elliot
Laboratory Phone(844) 726-3926
Laboratory LocationAllegiance Medical, Sc888 Thackeray Trail, Suite 103, Oconomowoc, WI 53066
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. STAN L MARKUS MD
Surgery
888 THACKERAY TRL STE 103
OCONOMOWOC, WI 53066
Waukesha County (262) 567-1499
PRIMELIFE HEALTH AND WELLNESS
Integrative Medicine
888 THACKERAY TRL STE 103
OCONOMOWOC, WI 53066
Waukesha County (866) 329-4264
MS. EMILY E STODDARD MD
Surgery
888 THACKERAY TRL STE 103
OCONOMOWOC, WI 53066
Waukesha County (262) 567-1499
DR. ERIC M ELLIOT DMSC, PA-C
Physician Assistant
888 THACKERAY TRL STE 103
OCONOMOWOC, WI 53066
Waukesha County (262) 330-0062
MS. CYNTHIA A PANGALLO MD
Surgery
888 THACKERAY TRL STE 103
OCONOMOWOC, WI 53066
Waukesha County (262) 567-1499

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 Allegiance Medical, Inc.'s NPI number?

The NPI number for Allegiance Medical, Inc. is 1831862895. It was assigned to this organization in the NPPES registry on July 27, 2021. The provider is doing business as Allegiance Medical Group.

Where is Allegiance Medical, Inc. located?

Allegiance Medical, Inc. is located at 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066. The listed phone number is (844) 726-3926.

What is Allegiance Medical, Inc.'s specialty?

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

Does Allegiance Medical, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2328858) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Allegiance Medical, Inc. was last updated on June 27, 2023. 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.