COMMONWEALTH MEDICAL GROUP, LLC
NPI 1477500361
Internal Medicine in West Allis, WI
NPI Status: Active since May 27, 2006
Contact Information
851 S 70TH ST
SUITE 101
WEST ALLIS, WI
ZIP 53214
Phone: (414) 777-5100
Fax: (414) 777-5112
- Organization
- Internal Medicine
About COMMONWEALTH MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Commonwealth Medical Group, Llc, an internist established in West Allis, Wisconsin operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1477500361 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Commonwealth Medical Group, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. John A. Mutschelknaus (Executive Director)
- NPI
- 1477500361
- Provider Name
- COMMONWEALTH MEDICAL GROUP, LLC
- Entity Type
- Organization
- Location Address
- 851 S 70TH ST SUITE 101 WEST ALLIS, WI 53214
- Location Phone
- (414) 777-5100
- Location Fax
- (414) 777-5112
- Mailing Address
- 851 S 70TH ST SUITE 101 WEST ALLIS, WI 53214
- Mailing Phone
- (414) 777-5100
- Mailing Fax
- (414) 777-5112
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 10-09-2007
- Code Navigator
An internist like Commonwealth Medical Group, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 1314-029 (WI) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207UN0901X | Allopathic & Osteopathic Physicians | Nuclear Medicine | |
| 6 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 7 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 8 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 9 | 2085U0001X | Allopathic & Osteopathic Physicians | Radiology | |
| 10 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 11 | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 12 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 13 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21251000 | MEDICAID (05) | WI | |
| 83880 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | PT GROUP MEDICARE NUMBER |
| 83250 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | PT GROUP MEDICARE NUMBER |
| 02475 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | GROUP MEDICARE NUMBER |
| 68175 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | GROUP MEDICARE NUMBER |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 5 | 0 | 0 | 3 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 10 | 0 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 0 + 0 + 0 + 3 + 1 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1477500361 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477500361, enumerated in the NPI registry as an "organization" on May 27, 2006
The provider is located at 851 S 70th St Suite 101 West Allis, Wi 53214 and the phone number is (414) 777-5100
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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