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

Ellen Ashley Giordano, MD

Individual provider Family Medicine Physician · NPI 1629539655

Ellen Ashley Giordano, MD is a Family Practice in Waukesha, Wisconsin. Qualified in 2019, 7 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
7
Licensed in
IL, WI
In the registry since
2019
Specialties on file
2
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

717 W Moreland Blvd
Waukesha, WI 53188-2432
Phone: (262) 542-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73994 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036161763 (IL)

Record details

NPI number1629539655
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2019
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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