Affiliated Health of Wisconsin Ltd.
NPI 1063433977 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Wauwatosa, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Affiliated Health of Wisconsin Ltd. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Wauwatosa, WI (NPI 1063433977).
Provider details
- NPI number
- 1063433977
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jay Mackman, Director(414) 476-9400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Technologists, Technicians & Other Technical Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Frequently asked questions
- What is Affiliated Health of Wisconsin Ltd.'s NPI number?
- Affiliated Health of Wisconsin Ltd.'s National Provider Identifier (NPI) is 1063433977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Affiliated Health of Wisconsin Ltd.?
- Affiliated Health of Wisconsin Ltd. is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Affiliated Health of Wisconsin Ltd. located?
- Affiliated Health of Wisconsin Ltd.'s practice location on file with NPPES is 2626 N 76th St, Wauwatosa, WI 53213-1137.
- What is Affiliated Health of Wisconsin Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Affiliated Health of Wisconsin Ltd. is (414) 774-7794.
- Does Affiliated Health of Wisconsin Ltd. accept Medicare?
- Affiliated Health of Wisconsin Ltd. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Affiliated Health of Wisconsin Ltd.?
- The authorized official listed on Affiliated Health of Wisconsin Ltd.'s NPPES record is Jay Mackman, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Affiliated Health of Wisconsin Ltd.'s NPI active?
- Yes — Affiliated Health of Wisconsin Ltd.'s NPI (1063433977) is active in the NPPES registry as of the last update on 2023-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.