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PROCARE MEDICAL GROUP SC
NPI 1922164656
Clinic/Center - Multi-Specialty in Milwaukee, WI

Active since December 28, 2006CLIA Certified · 2 labs
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208(414) 291-2626(414) 291-2630 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Jul 27, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Procare Medical Group Sc NPPES

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

PROCARE MEDICAL GROUP SC (NPI 1922164656) is a healthcare organization registered as a multi-specialty in Milwaukee, Wisconsin and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Rosalina Valle, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922164656
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePROCARE MEDICAL GROUP SC
Location Address3727 W WISCONSIN AVEMilwaukee, WI 53208-3182
Mailing Address3727 W Wisconsin AveMilwaukee, WI 53208-3182 · (414) 291-2626 · Fax (414) 291-2630
Phone(414) 291-2626
Fax(414) 291-2630
Organization SubpartNo
Authorized OfficialRosalina ValleOffice Manager · (414) 291-2624
Enumeration DateDecember 28, 2006
Last NPPES UpdateSeptember 23, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1922164656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
3727 W WISCONSIN AVE, Milwaukee, WI 53208
Open in Google Maps ↗

Other Identifiers 1

Medicaid32808100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 52D2298656

Procare Medical Group Sc · West Allis, WI
Active · expires Feb 5, 2028
CLIA Number52D2298656
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorDr. Shakaib Mohammad Razzaq
Laboratory Phone(414) 291-2626
Laboratory LocationProcare Medical Group Sc932 S 60th St, West Allis, WI 53214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0856319

Procare Medical Group · Milwaukee, WI
Active · expires May 14, 2027
CLIA Number52D0856319
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorDr. Mohammed Z. Nwilati
Laboratory Phone(414) 643-6454
Laboratory LocationProcare Medical Group1502 S Layton Blvd, Milwaukee, WI 53215
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

ALEX AMANDA FOLEY CNM
Midwife
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
KELLEY ANN BELTRAN FNP
Nurse Practitioner (Family)
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
THERAPY WIZARDS CORP
Physical Therapist
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 810-7246
MRS. PRIYANKA KANCHERLA RPH
Pharmacist
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 931-0000
MRS. NATALIE R KERBER FNP-C
Nurse Practitioner (Family)
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
DR. GORDON SETO D.C.
Chiropractor
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (626) 872-4673
PROCARE URGENT CARE LLC
Clinic/Center (Urgent Care)
3727 W WISCONSIN AVE, SUITE 2
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626
MARY JANE DE JESUS
Nurse Practitioner (Family)
3727 W WISCONSIN AVE
MILWAUKEE, WI 53208
Milwaukee County (414) 291-2626

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 Procare Medical Group Sc's NPI number?

The NPI number for Procare Medical Group Sc is 1922164656. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Procare Medical Group Sc located?

Procare Medical Group Sc is located at 3727 W Wisconsin Ave, Milwaukee, WI 53208. The listed phone number is (414) 291-2626.

What is Procare Medical Group Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Procare Medical Group Sc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Procare Medical Group Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Procare Medical Group Sc 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.

When was this NPI record last updated?

The NPPES record for Procare Medical Group Sc was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.