STEPHANE L DESOUCHES (D.O.) – Diagnostic Radiology Physician, NPI 1083970602

STEPHANE L DESOUCHES (D.O.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. DO-04992 (IA). The NPI Number for STEPHANE L DESOUCHES (D.O.) is 1083970602

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANE L DESOUCHES (D.O.)
NPI
1083970602
Phone
(414) 805-3750
Address
9200 W WISCONSIN AVE
Enumeration Date
9 April 2012
Last Update Date
7 April 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
6082229777
Graduation Year
2012 (14 years ago)
PAC ID
1850692013
Group Practice PAC ID
3870489586
Professional Enrollment ID
I20180612002059
Address ID
WI537188339MA5249XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,101 DIAGNOSTIC RADIOLOGY in WI

Provider Addresses for STEPHANE L DESOUCHES (D.O.)

  • 9200 W WISCONSIN AVE

    MILWAUKEE, WI 532263522

    Phone: (414) 805-3750

    Fax: (414) 259-9290

    Type: Mailing

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • 600 HIGHLAND AVE

    MADISON, WI 537920001

    Phone: (608) 263-9729

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160212002204IDiagnostic RadiologyMOTBD
I20180612002059IDiagnostic RadiologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,091860$0
71046X-ray of chest, 2 views806622$0
71250Ct scan of chest without contrast304223$0
77080Dxa bone density measurement of hip, pelvis, spine291171$0
73502X-ray of hip, 2-3 views180130$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870489586View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
-WI
Family PracticeWI
Diagnostic RadiologyIA
Nurse PractitionerWI
-WI
Diagnostic RadiologyWI
Family PracticeWI
Diagnostic RadiologyWI
-WI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is STEPHANE L DESOUCHES (D.O.) listed with a National Provider Identifier?
Yes — STEPHANE L DESOUCHES (D.O.) has NPI 1083970602 on file in the registry.
Active or inactive — what applies to STEPHANE L DESOUCHES (D.O.)?
You should see STEPHANE L DESOUCHES (D.O.) as active in CMS-hosted NPPES data.
What kind of doctor is STEPHANE L DESOUCHES (D.O.)?
STEPHANE L DESOUCHES (D.O.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is STEPHANE L DESOUCHES (D.O.) associated with Milwaukee?
Public fields place STEPHANE L DESOUCHES (D.O.) around Milwaukee, Wisconsin. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MELANIE B FUKUI (MD)

Neuroradiology Physician
PO BOX 49
NPI: 1932108685

DR. SEBOUH A GUEYIKIAN (M.D.)

Vascular & Interventional Radiology Physician
2650 RIDGE AVE.
NPI: 1316947062

ALLISON BARONE (MD)

Diagnostic Radiology Physician
1126, South 70th Street, West Allis, Milwaukee County, Wisconsin, 53214, United States
NPI: 1710987086

MICHAEL R HOLT (MD)

Diagnostic Radiology Physician
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Milwaukee, Milwaukee County, Wisconsin, 53226, United States
NPI: 1700871266
1905 N Calhoun Rd
NPI: 1952382533

DR. VINCENT P MATHEWS (MD)

Diagnostic Radiology Physician
Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
NPI: 1033190624

THOMAS F BERNS (M.D.)

Diagnostic Radiology Physician
Northwest Quadrant B, 2025, East Newport Avenue, Downer Woods, Milwaukee, Milwaukee County, Wisconsin, 53211, United States
NPI: 1164404703

FREDERICK ORIGENES (M.D.)

Diagnostic Radiology Physician
500 W Brown Deer Rd
NPI: 1720062250

MICHAEL MARQUART (M.D.)

Diagnostic Radiology Physician
4025, North 92nd Street, Grantosa, Wauwatosa, Milwaukee County, Wisconsin, 53222, United States
NPI: 1467436998