Individual provider Active NPI

Biji B Joseph, M.D.

  • Family Medicine Physician
  • Kenosha, WI
National Provider Identifier
1073834735
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53600-0200 Issued in WI
Practice address
6148 106TH Ave
Kenosha, WI 53142-7599
Phone
(262) 344-4803
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 53600- 020 WI
Family Medicine Physician 207Q00000X 53600-0200 WI Primary

Addresses

Primary practice location

6148 106TH Ave
Kenosha, WI 53142-7599

Mailing address

6148 106 TH Ave.
Kenosha, WI 53142-7599
Phone (262) 344-4803

Other names 1

  • Dr. Biji Joseph 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
I20120627000807 WI Practitioner - Family Practice 1254596109 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53600-0200WIMDFamily Medicine Physician
53600- 020WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biji Joseph MD S C Family Medicine CurrentSince Jul 29, 2025 Accepting new patients
MBS Envision LLC PastSince Aug 2, 2020 Accepting new patients

Locations

6123 Green Bay Rd
Ste 120
Kenosha, WI 53142
Phone (262) 358-2954

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.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1073834735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 106 TH AVE.",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427599",
            "telephone_number": "262-344-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 106TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427599",
            "telephone_number": "262-344-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "BIJI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "53600- 020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "53600-0200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIJI",
            "last_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.