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

Individual provider Internal Medicine Physician · NPI 1700850070

Dr. Samuel H Idarraga, MD is an Internal Medicine in Wauwatosa, Wisconsin. Graduated from Medical College of Wisconsin in 1989, 37 years ago. Practices with Allegiance Internal Medicine Specialists, SC, a 2-clinician group. Licensed in Wisconsin.

Years since qualifying
37
Trained at
Medical College of Wisconsin
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

2645 N Mayfair Rd Ste 200
Wauwatosa, WI 53226-1304
Phone: (414) 479-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 33511-020 (WI)

Record details

NPI number1700850070
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESMarch 2, 2010

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1989 (37 years in practice)
Group practice Allegiance Internal Medicine Specialists, Sc — 2 clinicians
Accepts Medicare assignment Not indicated

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