ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC — NPI 1619992179 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in GREEN BAY, WI)

CMS-1500 Box 24J / 33a • NPI

1619992179

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207VM0101X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

835 S VAN BUREN ST, GREEN BAY, WI, 54301-3526

✓ 9-Digit EDI 837 ZIP+4 (54301-3526)

Practice Phone & Referral Fax

(920) 433-8265

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619992179 (ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC) 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	`1619992179` (NPI-2 Organization / Facility)
Provider / Legal Name	ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207VM0101X` (Obstetrics & Gynecology, Maternal & Fetal Medicine)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	835 S VAN BUREN ST, GREEN BAY, WI, 54301-3526
Practice Telephone / Fax	Tel: (920) 433-8265
Administrative Mailing Address	200 E WASHINGTON ST, APPLETON, WI, 54911-5490
Enumeration & Last Sync	Enumerated: 2006-07-13 \| CMS Record Updated: 2020-08-22
Authorized Official	SUSAN SIPES (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

835 S VAN BUREN ST, GREEN BAY, WI, 54301-3526

🗺️ Open in Google Maps 🏥 More Providers in GREEN BAY

🔒 Are you ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207VM0101X)

What Does Taxonomy Code 207VM0101X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207VM0101X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207VM0101X` — Obstetrics & Gynecology, Maternal & Fetal Medicine Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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

ACADEMIC MATERNAL-FETAL MEDICINE CONSULTANTS SC (NPI #1619992179)