NPIMap

Individual provider Active NPI

Brian Kenealy, MD

  • Family Medicine Physician
  • Belleville, WI
National Provider Identifier
1043849540
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
76463 Issued in WI
Practice address
1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone
(608) 424-3384
Fax
(608) 424-6353
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 76463 WI Primary

Addresses

Primary practice location

1121 Bellwest Blvd
Belleville, WI 53508-9433

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004000182 WI Practitioner - Family Practice 6002238870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 424-3384

Hospital & facility affiliations

  • Agrace Hospicecare Hospice, Madison, WI, CCN 521505
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083
  • The Monroe Clinic Hospital, Monroe, WI, CCN 520028
  • New Glarus Home Nursing home, New Glarus, WI, CCN 525630

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76463WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Oct 1, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

1121 Bellwest Blvd
Belleville, WI 53508
Phone (608) 424-3384

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: bkenealy746173@direct.unitypoint.org

Organizations & group practices 4

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 5

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1043849540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 BELLWEST BLVD",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089433",
            "telephone_number": "608-424-3384",
            "fax_number": "608-424-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEALY",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "76463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, WI

Sources for this page

Verify at the official NPI Registry.