OrganizationActive
Interventional Procedures Group Ltd
NPI 1003869140 · Diagnostic Radiology Physician · Wauwatosa, WI
Provider details
- NPI number
- 1003869140
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Jacobsen, Officer on the Board Secretary(952) 543-6500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2445 North Mayfair Road
Wauwatosa, WI 53226
Phone: (414) 774-7226
Fax: (414) 774-6004
Street-level locationGet directions
Mailing address
5775 Wayzata Blvd.
St. Louis Park, MN 55416
Other names (DBA / former)
- Doing business as
- Center for Diagnostic Imaging
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2008-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.