Individual provider Active NPI

Kenneth Weinlander, MD

  • Ophthalmology Physician
  • Brookfield, WI
National Provider Identifier
1003233255
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
72802-20 Issued in WI
Practice address
16650 W Bluemound Rd Ste 400B
Brookfield, WI 53005-5920
Phone
(414) 377-5550
Fax
(414) 377-5550
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2018-01265 NC
Cornea and External Diseases Specialist Physician 207WX0120X 72802-20 WI
Ophthalmology Physician 207W00000X 72802-20 WI Primary

Addresses

Primary practice location

16650 W Bluemound Rd Ste 400B
Brookfield, WI 53005-5920

Mailing address

16650 W Bluemound Rd Ste 400B
Brookfield, WI 53005-5920
Phone (414) 377-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200527001104 WI Practitioner - Ophthalmology 1456668789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milwaukee Eye Surgeons, SCGroup PAC ID 0143641316, 2 clinicians

Practice addresses (Care Compare)

16650 W Bluemound Rd
Suite 400B
Brookfield, WI 53005-5920
Phone (414) 377-5550

Hospital & facility affiliations

  • Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-01265NCMDOphthalmology Physician
72802-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Eye Surgeons SC Ophthalmology CurrentSince May 5, 2020 Accepting new patients
KW Surgical Services SC Ophthalmology CurrentSince May 5, 2020 Accepting new patients

Locations

16650 W Bluemound Rd
Ste 400B
Brookfield, WI 53005
Phone (414) 377-5550

740 N Plankinton Ave
Ste 836
Milwaukee, WI 53203
Phone (414) 377-5550

2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDIFDD/Endpoint/JDIFDD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1003233255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 W BLUEMOUND RD STE 400B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055920",
            "telephone_number": "414-377-5550",
            "fax_number": "414-377-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 W BLUEMOUND RD STE 400B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055920",
            "telephone_number": "414-377-5550",
            "fax_number": "414-377-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINLANDER",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2018-01265",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "WI",
            "license": "72802-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "72802-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.