WELLIFYCARE MEDICAL S.C. NPI 1629914155

NPI Information

  • NPI: 1629914155
  • Provider Name: WELLIFYCARE MEDICAL S.C.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 4931 S 27TH ST
    GREENFIELD, WI
    ZIP 53221
  • Phone: (262) 261-8880

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NPI Details

WELLIFYCARE MEDICAL S.C. is an internal medicine in Greenfield, WI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WELLIFYCARE MEDICAL S.C. NPI is 1629914155. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4931 S 27TH ST
GREENFIELD, WI
ZIP 53221-652
Phone: (262) 261-8880

The provider's authorized official is Dereje Tefera Siyum .
The authorized official title is President and has the following contact phone number (262) 261-8880.

The enumeration date for this NPI number is 4/27/2026 and was last updated on 5/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QB0505XNo
2207RH0005XInternal MedicineHypertension SpecialistNo
3208M00000XHospitalistNo
42083C0008XPreventive MedicineClinical InformaticsNo
5207RP1002XInternal MedicinePhysician Nutrition SpecialistNo
6207RB0002XInternal MedicineObesity MedicineNo
72083B0002XPreventive MedicineObesity MedicineNo
8207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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