THE MEDICAL COLLEGE OF WISCONSIN, INC. – Internal Medicine Physician, NPI 1699720086
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for THE MEDICAL COLLEGE OF WISCONSIN, INC.
West Innovation Drive, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
SUITE 300
MILWAUKEE, WI 532264837
Phone: (414) 955-5006
Fax: (414) 955-6079
Type: Mailing
Tosa Health Center, 1155, North Mayfair Road, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
MILWAUKEE, WI 532263421
Phone: (414) 955-5990
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: 2003-11-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (807 days ago).
Enrollment records
2
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031120000259 | O | Clinic/Group Practice | WI | 2024-08-31 |
| O20031121000146 | O | Independent Clinical Laboratory | WI | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 545 | 72 | $0 |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 99 | 73 | $0 |
| 88348 | Electron microscopy for diagnosis | 56 | 52 | $0 |
Insurance plans in this area (ZIP 53226)
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