Individual provider Active NPI

Aaron Daniel Kallsnick, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1003011966
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
64206 Issued in WI
Practice address
5645 W Addison St
Chicago, IL 60634-4403
Phone
(773) 282-7000
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Oklahoma College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Racine Anesthesia Services LLC 81 clinicians
Vituity-Wisconsin Anesthesia SC 144 clinicians

Practice addresses (Care Compare)

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4392

9697 Saint Catherines Dr
Pleasant Prairie, WI 53158-2118
Phone (262) 653-5330

Hospital & facility affiliations

  • Ascension All Saints Hospital Hospital, Racine, WI, CCN 520096
  • Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110907001127 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 3577656487 Reassigns benefits to 1 organization
I20150820011577 WI Practitioner - Anesthesiology 3577656487 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.127038ILMDAnesthesiology Physician
64206WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Apr 27, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology Current Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Sep 1, 2021 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Apr 27, 2025 Accepting new patients
Racine Anesthesia Services, LLC Anesthesiology CurrentSince Jul 13, 2015 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients
Medstar Health Anesthesia Services C, LLC Anesthesiology Past Accepting new patients
Endocentre at Quarterfield Station Past Accepting new patients
Woodholme Gastroenterology Assoc PA Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

9697 Saint Catherines Dr
Pleasant Prairie, WI 53158
Phone (262) 577-8141

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: akallsnick862805@direct.froedtert.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036.127038 IL
Anesthesiology Physician 207L00000X 64206 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

5645 W Addison St
Chicago, IL 60634-4403

Mailing address

1301 W 22ND St
#610
Oak Brook, IL 60523-2006
Phone (630) 537-1720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2022.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1003011966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 22ND ST",
            "address_2": "#610",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232006",
            "telephone_number": "630-537-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "773-282-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLSNICK",
        "first_name": "AARON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.127038",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "64206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.