DR. MARY EAPEN (MD) – Pediatric Hematology & Oncology Physician, NPI 1306897210

DR. MARY EAPEN (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 42290 (WI). The NPI Number for DR. MARY EAPEN (MD) is 1306897210

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY EAPEN (MD)
NPI
1306897210
Phone
(414) 456-4170
Address
9000 W WISCONSIN AVE
Enumeration Date
15 May 2006
Last Update Date
14 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4148053666
Graduation Year
1986 (40 years ago)
PAC ID
1850450297
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20081030000279
Address ID
WI532263548MI8701XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

350 HEMATOLOGY/ONCOLOGY in WI

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Provider Addresses for DR. MARY EAPEN (MD)

  • 9000, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    DIVISION OF PEDIATRIC HEMATOLOGY/ONCOLOGY

    MILWAUKEE, WI 532264874

    Phone: (414) 456-4170

    Fax: (414) 456-6543

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $1,108.

Total Amount is formed as General ($1,108) + Research ($0) + Ownership ($0) = $1,108.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: National Marrow Donor Program ($986).

Total Amount

$1,108

General + Research + Ownership

Payments

3

Total payment records

General Amount

$1,108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-10-30

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
I20081030000279IHematology/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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3816$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3011$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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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: 2668384371View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARY EAPEN (MD)'s NPI?
Yes. DR. MARY EAPEN (MD) is listed with NPI 1306897210 in the public NPI dataset.
Can I rely on DR. MARY EAPEN (MD) being an active provider?
As of the registry snapshot, DR. MARY EAPEN (MD) is marked active.
What healthcare role does DR. MARY EAPEN (MD) hold?
Scheduling teams often label DR. MARY EAPEN (MD) under Pediatric Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MARY EAPEN (MD) based?
DR. MARY EAPEN (MD) is tied to Milwaukee, Wisconsin in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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