ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC — NPI 1194473066 (Board-Certified Anesthesiologist & Interventional Pain Specialist in MILWAUKEE, WI)

CMS-1500 Box 24J / 33a • NPI

1194473066

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207L00000X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

2301 N LAKE DR, MILWAUKEE, WI, 53211-4508

✓ 9-Digit EDI 837 ZIP+4 (53211-4508)

Practice Phone & Referral Fax

(414) 585-1000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194473066 (ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN 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	`1194473066` (NPI-2 Organization / Facility)
Provider / Legal Name	ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207L00000X` (Anesthesiology)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	2301 N LAKE DR, MILWAUKEE, WI, 53211-4508
Practice Telephone / Fax	Tel: (414) 585-1000
Administrative Mailing Address	400 W RIVER WOODS PKWY, GLENDALE, WI, 53212-1060
Enumeration & Last Sync	Enumerated: 2022-03-10 \| CMS Record Updated: 2026-07-08
Authorized Official	DAVID JIROVEC (Finance Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2301 N LAKE DR, MILWAUKEE, WI, 53211-4508

🗺️ Open in Google Maps 🏥 More Providers in MILWAUKEE

🔒 Are you ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

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: Yes (Primary)
`367500000X` — Nurse Anesthetist, Certified Registered Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (NPI #1194473066)