DR. JOHN A ALBERT MD
NPI 1861428070
Internal Medicine - Rheumatology in Glendale, WI

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7080 N PORT WASHINGTON RD, GLENDALE, WI 53217(414) 351-4009(414) 351-4009 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John A Albert Md NPPES

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

DR. JOHN A ALBERT MD (NPI 1861428070) is an individual rheumatology provider in Glendale, Wisconsin, licensed in Wisconsin (39779) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1861428070
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JOHN A ALBERTCredential: MD
Location Address7080 N PORT WASHINGTON RDGlendale, WI 53217-3838
Mailing Address7080 N Port Washington RdGlendale, WI 53217-3838 · (414) 351-4009 · Fax (414) 351-4009
Fax(414) 351-4009
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJune 23, 2006
Last NPPES UpdateSeptember 12, 2008
NPI 1861428070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in WI · 39779
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 39779 (WI)
7080 N PORT WASHINGTON RD, Glendale, WI 53217

Other Identifiers 6

Medicare UPINH11681
Other$$$$$$$$$007WI · Anthem Blue Cross Blue Sh
Medicaid32466600WI
Medicare NSC0845760001
Medicare PIN001102855WI
Medicare PIN002101473WI

Accepted Insurance

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

Dr. John A Albert Md 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 ID6800867375
PECOS Enrollment IDI20040805001556
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.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
20,635 services21 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
16,840 services40 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
6,775 services12 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,240 services34 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
591 services99 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
356 services142 patients

Hospital Affiliations CMS Care Compare

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53217 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 12

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

Pharmacy (Community/Retail Pharmacy)
7080 N PORT WASHINGTON RD
GLENDALE, WI 53217
Internal Medicine (Rheumatology)
7080 N PORT WASHINGTON RD
GLENDALE, WI 53217
Internal Medicine (Rheumatology)
7080 N PORT WASHINGTON RD
GLENDALE, WI 53217
Internal Medicine (Rheumatology)
7080 N PORT WASHINGTON RD
GLENDALE, WI 53217
Internal Medicine (Rheumatology)
7080 N PORT WASHINGTON RD
GLENDALE, WI 53217
Internal Medicine (Rheumatology)
7080 N PORT WASHINGTON RD
GLENDALE, WI 53217
Internal Medicine (Rheumatology)
7080 N PORT WASHINGTON RD, RHEUMATIC DISEASE CENTER
GLENDALE, WI 53217
Internal Medicine (Rheumatology)
7080 N PORT WASHINGTON RD
GLENDALE, WI 53217

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 John Albert's NPI number?

The NPI number for John Albert is 1861428070. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is John Albert located?

John Albert practices at 7080 N Port Washington Rd, Glendale, WI 53217. The listed phone number is (414) 351-4009.

What is John Albert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is John Albert enrolled in Medicare?

Yes. John Albert 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.

What insurance does John Albert accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Quartz and 1 other insurer list John Albert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Albert affiliated with any hospitals?

According to CMS data, John Albert is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for John Albert was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.