Individual provider Active NPI

Kostandinos Tsoulfas, MD

  • Pain Medicine Physician
  • Kenosha, WI
National Provider Identifier
1013088277
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
49097-020 Issued in WI
Practice address
10105 74TH St
Kenosha, WI 53142-7510
Phone
(262) 297-7246
Fax
(888) 714-0578
NPI assigned
Nov 10, 2006
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49097 WI
Pain Medicine Physician 208VP0000X 49097-020 WI Primary

Addresses

Primary practice location

10105 74TH St
Kenosha, WI 53142-7510

Mailing address

2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246

Other practice location 1

2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246

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
I20070321000405 WI Practitioner - Pain ManagementPractitioner - Interventional Pain Management 6103929658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Physicians of Wisconsin SCGroup PAC ID 9537596341, 28 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

1200 Delafield St
Waukesha, WI 53188-3430
Phone (262) 297-7246

2500 W Layton Ave
Suite 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246

3620 57TH Ave
Suite 400
Kenosha, WI 53144-4925
Phone (262) 925-5250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
59.26
Promoting interoperability
98
Improvement activities
40
Cost
72.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49097WIMDFamily Medicine Physician
49097-020WIMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management, SC CurrentSince Nov 10, 2006 Accepting new patients
Pain Physicians of Wisconsin, SC Pain Medicine CurrentSince Sep 1, 2020 Accepting new patients
Advanced Pain Management SC Pain Medicine CurrentSince Nov 10, 2006 Accepting new patients
Milwaukee Surgicenter LLC Past Accepting new patients
Madison Surgicenter LLC Past Accepting new patients
Advanced Pain Treatment of Chicago SC Past Accepting new patients

Locations

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

4202 W Oakwood Park Ct
Ste 110
Franklin, WI 53132
Phone 26229772461310

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

10105 74th St
Ste 101
Kenosha, WI 53142
Phone (262) 697-5056

34 Schroeder Ct
Ste 100
Madison, WI 53711
Phone (608) 288-7246

2500 W Layton Ave
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5105

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

5007 S Howell Ave
Ste 115
Milwaukee, WI 53207
Phone (414) 325-3737

4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246

1200 Delafield St
Waukesha, WI 53188
Phone (262) 297-0724

813 W Moreland Blvd
Waukesha, WI 53188
Phone (262) 544-1620

Interoperability endpoints

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

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1013088277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215434",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 74TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427510",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Layton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532215434",
            "country_code": "US",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSOULFAS",
        "first_name": "KOSTANDINOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49097",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "49097-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.