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

Phillip Ruben Chisholm, MD

Individual provider Internal Medicine Physician · NPI 1356636278

Phillip Ruben Chisholm, MD is a Gastroenterology in Milwaukee, Wisconsin. Graduated from Washington University School of Medicine in 2011, 15 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Wisconsin.

Years since qualifying
15
Trained at
Washington University School of Medicine
Licensed in
MO, WI
In the registry since
2011
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

9200 W Wisconsin Ave
Milwaukee, WI 53226
Phone: (414) 955-6830
Fax: (414) 955-6214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 660 S Euclid Ave, Saint Louis, MO 63110-1010 — (314) 362-5060

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 69482 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2011015256 (MO)

Record details

NPI number1356636278
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESJuly 5, 2018

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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