Individual provider Active NPI

Marthe Ngongang Dika, M.D.

  • Dermatology Physician
  • Burlington, WI
National Provider Identifier
1043604424
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
71553-20 Issued in WI
Practice address
1050 Milwaukee Ave Ste 101
Burlington, WI 53105-1380
Phone
(414) 433-7692
Fax
(906) 208-6538
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 71553-20 WI Primary

Addresses

Primary practice location

1050 Milwaukee Ave Ste 101
Burlington, WI 53105-1380

Mailing address

1050 Milwaukee Ave Ste 101
Burlington, WI 53105-1380
Phone (414) 433-7692

Other practice location 1

6123 Green Bay Rd Ste 120
Kenosha, WI 53142-2927
Phone (414) 433-7692

Other practice location 2

2500 W Silver Spring Dr
Glendale, WI 53209-4218
Phone (414) 433-7692

Other names 1

  • Marthe Ceme Ngongang Former name

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
I20190807001632 WI Practitioner - Dermatology 1456643170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 Milwaukee Ave
Suite 101
Burlington, WI 53105-1380
Phone (414) 433-7692

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions411
Removal of skin cancer34
Removal of nail tissue1-10
Removal or shaving of skin growth87
Skin biopsy21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M Dika Dermatology Dermatology CurrentSince Feb 9, 2021 Accepting new patients

Locations

1050 Milwaukee Ave
Ste 101
Burlington, WI 53105
Phone (262) 763-6000

1050 Milwaukee Ave
Ste 100
Burlington, WI 53105

2500 W Silver Spring Dr
Glendale, WI 53209
Phone (414) 395-1279

Interoperability endpoints

  • Direct secure messaging: marthe.dika@forefrontdermatology.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00198

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1043604424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MILWAUKEE AVE STE 101",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051380",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MILWAUKEE AVE STE 101",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051380",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6123 Green Bay Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531422927",
            "country_code": "US",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W Silver Spring Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532094218",
            "country_code": "US",
            "telephone_number": "414-433-7692",
            "fax_number": "906-208-6538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIKA",
        "first_name": "MARTHE",
        "middle_name": "NGONGANG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "71553-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHE",
            "last_name": "NGONGANG",
            "middle_name": "CEME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, WI

Sources for this page

Verify at the official NPI Registry.