ABE F. GOLDBAUM M.D., S.C. — NPI 1447332887 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine in MILWAUKEE, WI)

CMS-1500 Box 24J / 33a • NPI

1447332887

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

204C00000X (CMS 12)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine

Box 32 Service Location & ZIP+4

2901 W KK RIVER PKWY, STE 106,, MILWAUKEE, WI, 53215-3677

✓ 9-Digit EDI 837 ZIP+4 (53215-3677)

Practice Phone & Referral Fax

(414) 649-7710

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1447332887 (ABE F. GOLDBAUM M.D., S.C.) 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	`1447332887` (NPI-2 Organization / Facility)
Provider / Legal Name	ABE F. GOLDBAUM M.D., S.C.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine NUCC Code: `204C00000X` (Neuromusculoskeletal Medicine, Sports Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2901 W KK RIVER PKWY, STE 106,, MILWAUKEE, WI, 53215-3677
Practice Telephone / Fax	Tel: (414) 649-7710
Administrative Mailing Address	2604 MEADOWBROOK RD, WAUKESHA, WI, 53188-1394
Enumeration & Last Sync	Enumerated: 2006-10-19 \| CMS Record Updated: 2010-12-01
Authorized Official	ABE GOLDBAUM (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2901 W KK RIVER PKWY, STE 106,, MILWAUKEE, WI, 53215-3677

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Plain-English Taxonomy & CMS Crosswalk (204C00000X)

What Does Taxonomy Code 204C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 204C00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 12 (Physician/Osteopathic Manipulative Medicine) • CMS Code 23 (Physician/Sports Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Neuromusculoskeletal Medicine, Sports Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABE F. GOLDBAUM M.D., S.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`204C00000X` — Neuromusculoskeletal Medicine, Sports Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Neuromusculoskeletal Medicine, Sports Medicine	State: WI \| License: `34054` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABE F. GOLDBAUM M.D., S.C. (NPI #1447332887)