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

Rakesh Patyal

Individual provider Family Nurse Practitioner · NPI 1336711563

Rakesh Patyal is a Nurse Practitioner in Wauwatosa, Wisconsin. Qualified in 2021, 5 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
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Practice location Address checks out

1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone: (414) 955-5990
Fax: (414) 955-6282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11034-33 (WI)

Record details

NPI number1336711563
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2021
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address1155 N Mayfair Rd, Wauwatosa, WI 53226-3462

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wauwatosa