Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wellifycare Medical SC

Organization Diabetology (Internal Medicine) Physician · NPI 1629914155

Wellifycare Medical SC is a Diabetology (Internal Medicine) Physician in Brookfield, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
8

Practice location Address checks out

18200 W Capitol Dr Ste 200
Brookfield, WI 53045-1446
Phone: (262) 261-8880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Diabetology (Internal Medicine) Physician Taxonomy 207QB0505X
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X
Hypertension Specialist Physician Taxonomy 207RH0005X
Physician Nutrition Specialist (Internal Medicine) Taxonomy 207RP1002X
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X
Clinical Informatics Physician Taxonomy 2083C0008X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1629914155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dereje Siyum — President · (262) 261-8880
NPI enumeratedApril 27, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing addressW193n4932 Tea Tree Dr, Menomonee Falls, WI 53051-1644