Prohealth Medical Group Inc.
NPI 1356322440 · Pediatrics Physician · Waukesha, WI
Enrolled with Medicare as Dme Supplier - Physician - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prohealth Medical Group Inc. is a Pediatrics Physician organization in Waukesha, WI (NPI 1356322440).
Provider details
- NPI number
- 1356322440
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Johnson, Reimbursement Manager(262) 928-4704
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
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
8 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Prohealth Medical Group Inc
Additional practice locations (7)
- 18905 W Capitol Dr Ste 110Brookfield, WI 53045-2752Phone: (866) 432-7855Fax: (262) 544-0046
- 1279 Capitol DrPewaukee, WI 53072-2504Phone: (262) 928-9180
- 808 Cornerstone CtWaterford, WI 53185Phone: (262) 928-1977
- 808 Cornerstone CtWaterford, WI 53185Phone: (262) 928-1977
- 790 Cornerstone CrossingWaterford, WI 53185-4582Phone: (262) 928-1977
- 1111 Delafield St Ste 112Waukesha, WI 53188-3402Phone: (262) 928-9140
- N14w23800 Stone Ridge Dr Ste 110Waukesha, WI 53188-1144Phone: (262) 780-0707Fax: (262) 953-8848
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Frequently asked questions
- What is Prohealth Medical Group Inc.'s NPI number?
- Prohealth Medical Group Inc.'s National Provider Identifier (NPI) is 1356322440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prohealth Medical Group Inc.?
- Prohealth Medical Group Inc. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Prohealth Medical Group Inc. located?
- Prohealth Medical Group Inc.'s practice location on file with NPPES is N17w24100 Riverwood Dr, Waukesha, WI 53188-1177.
- What is Prohealth Medical Group Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prohealth Medical Group Inc. is (262) 928-4100.
- Does Prohealth Medical Group Inc. accept Medicare?
- Prohealth Medical Group Inc. 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 Prohealth Medical Group Inc.?
- The authorized official listed on Prohealth Medical Group Inc.'s NPPES record is Thomas Johnson, Reimbursement Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prohealth Medical Group Inc.'s NPI active?
- Yes — Prohealth Medical Group Inc.'s NPI (1356322440) is active in the NPPES registry as of the last update on 2025-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.