OrganizationActive
Great Lakes Radiologists Sc
NPI 1609800291 · Diagnostic Radiology Physician · New Berlin, WI
Provider details
- NPI number
- 1609800291
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Grossman, Chief Operating Officer(262) 780-0357
Specialties & taxonomies
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
19 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
2875 S 171st St
New Berlin, WI 53151-3200
Phone: (262) 786-3107
Fax: (262) 780-0442
Street-level locationGet directions
Mailing address
Po Box 511400
New Berlin, WI 53151-3200
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.