Individual provider Active NPI

Kyle Greiber

  • Anesthesiology Physician
  • Madison, WI
National Provider Identifier
1114459187
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
69937 Issued in WI
Practice address
202 S Park St 4 Tower
Madison, WI 53715
Phone
(608) 417-6676
Fax
(414) 955-6528
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 69937 WI Primary

Addresses

Primary practice location

202 S Park St 4 Tower
Madison, WI 53715

Mailing address

9403 W Wisconsin Ave
Milwaukee, WI 53226-3525
Phone (608) 575-1986

Other identifiers 1

IdentifierTypeStateIssuer
1114459187MedicaidWI

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
I20210414001339 WI Practitioner - Anesthesiology 4284973496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Wisconsin, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Wisconsin Anesthesia SC 144 clinicians
Orthopaedic Hospital of Wisconsin, LLC 42 clinicians

Practice addresses (Care Compare)

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1132

475 W River Woods Pkwy
Glendale, WI 53212-1081
Phone (414) 961-6800

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

  • Orthopaedic Hospital of Wisconsin Hospital, Glendale, WI, CCN 520194
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
82.81
Promoting interoperability
100
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69937WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Wisconsin Anesthesia SC Anesthesiology Current Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Oct 27, 2024 Accepting new patients
Orthopaedic Hospital of Wisconsin, LLC CurrentSince Aug 25, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Oct 27, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients

Locations

475 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 5

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1114459187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263525",
            "telephone_number": "608-575-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST 4 TOWER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "608-417-6676",
            "fax_number": "414-955-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREIBER",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "69937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114459187",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.