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Great Lakes Radiologists Sc

Diagnostic Radiology Physician in New Berlin, WI · enumerated 2006 · authorized official Thomas Grossman, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609800291

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Radiologists Sc
Practice address 2875 S 171st St, New Berlin, WI, 53151
Phone (262) 786-3107
Fax (262) 780-0442
Enumeration date Jul 10, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Thomas Grossman
Title Chief Operating Officer
Phone (262) 780-0357

Other identifiers

Identifier Type State Issuer
32868800 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Great Lakes Radiologists Sc?
NPPES lists Thomas Grossman (Chief Operating Officer) as the authorized official for this organization.
What is the NPI number for Great Lakes Radiologists Sc?
The NPI for Great Lakes Radiologists Sc is 1609800291, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.