MCHS HOSPITALS INC — NPI 1164159109 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in WAUSAU, WI)

CMS-1500 Box 24J / 33a • NPI

1164159109

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207R00000X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

2727 PLAZA DR, WAUSAU, WI, 54401-4192

✓ 9-Digit EDI 837 ZIP+4 (54401-4192)

Practice Phone & Referral Fax

(715) 847-3000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164159109 (MCHS HOSPITALS INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164159109` (NPI-2 Organization / Facility)
Provider / Legal Name	MCHS HOSPITALS INC
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207R00000X` (Internal Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	2727 PLAZA DR, WAUSAU, WI, 54401-4192
Practice Telephone / Fax	Tel: (715) 847-3000
Administrative Mailing Address	1000 N OAK AVE, MARSHFIELD, WI, 54449-5703
Enumeration & Last Sync	Enumerated: 2022-08-01 \| CMS Record Updated: 2026-11-11
Authorized Official	JOLYN MUNSON (VP Revenue Cycle Operations)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2727 PLAZA DR, WAUSAU, WI, 54401-4192

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Plain-English Taxonomy & CMS Crosswalk (207R00000X)

What Does Taxonomy Code 207R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207R00000X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MCHS HOSPITALS INC)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207L00000X` — Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: N/A \| License: `Verified` \| Primary: Secondary
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QA1903X` — Clinic/Center, Ambulatory Surgical Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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MCHS HOSPITALS INC (NPI #1164159109)