SARA ELIZABETH BELTRAN PONCE (MD) – Radiation Oncology Physician, NPI 1104386671

SARA ELIZABETH BELTRAN PONCE (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 75948 (WI). The NPI Number for SARA ELIZABETH BELTRAN PONCE (MD) is 1104386671

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SARA ELIZABETH BELTRAN PONCE (MD)
NPI
1104386671
Phone
(414) 649-3323
Address
2901 W OKLAHOMA AVE
Enumeration Date
21 March 2019
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
4146496420
Graduation Year
2019 (7 years ago)
PAC ID
0840684163
Group Practice PAC ID
7618924622
Professional Enrollment ID
I20240729002763
Address ID
WI532154330MI2900XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

186 RADIATION ONCOLOGY in WI

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Provider Addresses for SARA ELIZABETH BELTRAN PONCE (MD)

  • 2901, West Oklahoma Avenue, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States

    MILWAUKEE, WI 532154329

    Phone: (414) 649-3323

    Type: Mailing

  • 2700 W 9th Ave Ste 11

    Oshkosh, WI 549047863

    Phone: (920) 831-8900

    Type: Location

  • 11516 N PORT WASHINGTON RD STE 107

    MEQUON, WI 530923478

    Phone: (262) 241-5040

    Fax: (262) 241-5261

    Type: Mailing

  • 1506 S ONEIDA ST

    APPLETON, WI 549151305

    Phone: (920) 831-8900

    Fax: (920) 831-1320

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240729002763IRadiation OncologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53215)

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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: 7618924622View full group profile
NameSpecialtyState
Radiation OncologyWI
Radiation OncologyWI
-WI
Radiation OncologyCA
Radiation OncologyCO
Radiation OncologyWI
-WI
Radiation OncologyWI
Radiation OncologyWI
-WI

Reviews

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Frequently asked questions

How do I look up SARA ELIZABETH BELTRAN PONCE (MD) by NPI?
Use NPI 1104386671 when you need to reference SARA ELIZABETH BELTRAN PONCE (MD) in forms, claims, or directories.
Is SARA ELIZABETH BELTRAN PONCE (MD)'s NPI currently valid?
The extract we use shows SARA ELIZABETH BELTRAN PONCE (MD) as active.
What field does SARA ELIZABETH BELTRAN PONCE (MD) work in?
You can think of SARA ELIZABETH BELTRAN PONCE (MD) as practicing within Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What location shows for SARA ELIZABETH BELTRAN PONCE (MD)?
We surface Milwaukee, Wisconsin for SARA ELIZABETH BELTRAN PONCE (MD) based on available NPPES addresses.
How can I contact SARA ELIZABETH BELTRAN PONCE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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