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

Dr. Raymond T Fedderly, MD

Individual provider Pediatric Cardiology Physician · NPI 1790736619

Dr. Raymond T Fedderly, MD is a Pediatric Medicine in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1988, 38 years ago. Practices with Childrens Specialty Group Inc, a 213-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
38
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9000 W Wisconsin Ave Pediatric Cardiology
Milwaukee, WI 53226-4874
Phone: (414) 266-2380
Fax: (414) 266-2294
Show map & directions

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

Additional practice locations (6)

  • 2575 E Evergreen Drive, Appleton, WI 54913-8904 — (920) 969-5353
  • W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (262) 257-5000
  • 1655 W Mequon Rd, Mequon, WI 53092-3254 — (414) 266-6457
  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-6000
  • 4805 S Moorland Rd, New Berlin, WI 53151-7401 — (262) 798-7200
  • 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 — (262) 836-7300

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 32186 (WI)

Record details

NPI number1790736619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address9000 W Wisconsin Ave, Pediatric Cardiology, Milwaukee, WI 53226-4874

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Childrens Specialty Group Inc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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