1. Home
  2. Directory
  3. Wisconsin
  4. East Troy
  5. General Practice
  6. NPI Profile

FAMILY MEDICINE & SURGERY LLC
NPI 1922305077
General Practice in East Troy, WI

Active since February 24, 2011
3066 MAIN ST, EAST TROY, WI 53120(262) 642-7313(262) 642-4251 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Medicine & Surgery Llc NPPES

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

FAMILY MEDICINE & SURGERY LLC (NPI 1922305077) is a healthcare organization registered as a general practice in East Troy, Wisconsin and active in the NPI registry since February 2011. The organization lists Neil James Rennick, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1922305077
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFAMILY MEDICINE & SURGERY LLC
Location Address3066 MAIN STEast Troy, WI 53120-1148
Mailing Address3066 Main StEast Troy, WI 53120-1148 · (262) 642-7313 · Fax (262) 642-4251
Phone(262) 642-7313
Fax(262) 642-4251
Organization SubpartNo
Authorized OfficialNeil James RennickSole Proprietor · (262) 642-7313
Enumeration DateFebruary 24, 2011
✔ NPI 1922305077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 26462
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
3066 MAIN ST, East Troy, WI 53120
Open in Google Maps ↗

Other Identifiers 5

Other26462WI · State Of Wisconsin License
Other80591WI · Medicare Id
Medicare UPINB56004WI
Other1508062043WI · Type 1 Npi
Medicaid30100300WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Family Medicine & Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Medicine & Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neil Rennick, DO
Family Practice
NPI 1508062043
3066 MAIN ST # 45
East Troy, WI 53120
(262) 642-7313
✔ PECOS✔ Accepts Medicare0.1 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 Family Medicine & Surgery LLC's NPI number?

The NPI number for Family Medicine & Surgery LLC is 1922305077. It was assigned to this organization in the NPPES registry on February 24, 2011.

Where is Family Medicine & Surgery LLC located?

Family Medicine & Surgery LLC is located at 3066 Main St, East Troy, WI 53120. The listed phone number is (262) 642-7313.

What is Family Medicine & Surgery LLC's specialty?

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

Is Family Medicine & Surgery LLC enrolled in Medicare?

Yes. Family Medicine & Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine & Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Medicine & Surgery LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Medicine & Surgery LLC was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.