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SHMUEL MANDELBAUM M.D.
NPI 1942221601
Psychiatry & Neurology - Psychiatry in Milwaukee, WI

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
6980 N PORT WASHINGTON RD STE 202, MILWAUKEE, WI 53217(414) 351-7100 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2021, Dec 20, 2018 (2 updates tracked since 2018).

About Shmuel Mandelbaum M.d. NPPES

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

SHMUEL MANDELBAUM M.D. (NPI 1942221601) is an individual psychiatry provider in Milwaukee, Wisconsin, licensed in Wisconsin (54771) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Manitowoc, and is a graduate of Wayne State University School Of Medicine (1989).

NPPES Registry Identity

NPI1942221601
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSHMUEL MANDELBAUMCredential: M.D.
Location Address6980 N PORT WASHINGTON RD STE 202Milwaukee, WI 53217
Mailing Address6980 N Port Washington Rd Ste 202Milwaukee, WI 53217-3900 · (414) 351-7100
Phone(414) 351-7100
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1989
Enumeration DateJuly 21, 2006
Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
✔ NPI 1942221601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 54771
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6980 N PORT WASHINGTON RD STE 202, Milwaukee, WI 53217
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Other Names 1

Former Name (1)Stuart Paul Mandelbaum M.d.

Secondary Practice Location 1

Location 1339 Reed AveManitowoc, WI 54220-2020 · Phone (920) 320-8600 · Fax (920) 320-8662

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shmuel Mandelbaum M.d. 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 ID2062542111
PECOS Enrollment IDI20110307001012
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shmuel Mandelbaum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wisconsin Community Services Inc.
7.6 mi
Mental Health (Including Community Mental Health Center)
3732 W WISCONSIN AVE STE 200
Milwaukee, WI 53208
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1417108747 (414) 290-0440
Aurora Medical Group, Inc.
10 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Cornerstone Counseling Services, Inc
13 mi
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
NPI 1033127246 (262) 789-1191
Lakeshore Community Health Care, Inc
24 mi
Federally Qualified Health Center (FQHC)
908 W WASHINGTON ST
West Bend, WI 53095
  • Reassigned Medicare billing, Wisconsin enrollment
  • 46 clinicians in this Medicare group
NPI 1184358004 (920) 783-6633

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

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services97 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services70 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
38 services38 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
27 services13 patients

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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shmuel Mandelbaum's NPI number?

The NPI number for Shmuel Mandelbaum is 1942221601. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Stuart Paul Mandelbaum M.D..

Where is Shmuel Mandelbaum located?

Shmuel Mandelbaum practices at 6980 N Port Washington Rd Ste 202, Milwaukee, WI 53217. The listed phone number is (414) 351-7100.

What is Shmuel Mandelbaum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shmuel Mandelbaum enrolled in Medicare?

Yes. Shmuel Mandelbaum 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.

Which organizations bill Medicare for Shmuel Mandelbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shmuel Mandelbaum reassigns Medicare benefits to 4 organizations: Wisconsin Community Services Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI), Cornerstone Counseling Services, Inc (Brookfield, WI) and Lakeshore Community Health Care, Inc (West Bend, WI). Each 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 Shmuel Mandelbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shmuel Mandelbaum 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 Shmuel Mandelbaum 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 Shmuel Mandelbaum was last updated on November 24, 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.