Individual provider Active NPI

Kenneth D Friedman, MD

  • Hematology & Oncology Physician
  • Milwaukee, WI
National Provider Identifier
1124079082
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
27624 Issued in WI
Practice address
9200 W Wisconsin Ave
Division of Neoplastic Diseases
Milwaukee, WI 53226-3522
Phone
(414) 805-6800
Fax
(414) 805-6808
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 27624 WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Division of Neoplastic Diseases
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Division of Neoplastic Diseases
Milwaukee, WI 53226-3522
Phone (414) 805-6800

Other practice location 1

2575 E Evergreen Drive
Appleton, WI 54913-8904
Phone (920) 969-5353

Other practice location 2

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-2420

Other identifiers 2

IdentifierTypeStateIssuer
002000215LOtherHUMANA
1124079082MedicaidWI

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
I20101104001516 WI Practitioner - HematologyPractitioner - Internal MedicinePractitioner - PathologyPractitioner - Medical Oncology 9234323056 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Internal Medicine, Medical Oncology, Pathology
Education
State University of Ny Upstate Medical University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hemophilia Outreach of Wisconsin IncGroup PAC ID 6507948593, 4 clinicians
Childrens Specialty Group IncGroup PAC ID 2567813447, 206 clinicians

Practice addresses (Care Compare)

2060 Bellevue St
Green Bay, WI 54311-5622
Phone (920) 965-0606

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-2000

Hospital & facility affiliations

  • Childrens Hospital of Wisconsin Hospital, Milwaukee, WI, CCN 523300

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
27624WIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Versiti Blood Health Inc. CurrentSince Apr 1, 1999 Accepting new patients
Children'S Specialty Group, Inc. CurrentSince Jul 10, 2024 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jan 1, 1966 Accepting new patients
Versiti Blood Health Inc. CurrentSince Apr 1, 1999 Accepting new patients

Locations

29779 Network Pl
Chicago, IL 60673

2575 E Evergreen Dr
Appleton, WI 54913
Phone (920) 969-5353

638 N 18th St
Milwaukee, WI 53233
Phone (414) 933-5000

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

9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: kfriedmanmd5219@direct.froedtert.com

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 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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1124079082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DIVISION OF NEOPLASTIC DISEASES",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6800",
            "fax_number": "414-805-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DIVISION OF NEOPLASTIC DISEASES",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6800",
            "fax_number": "414-805-6808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 E Evergreen Drive",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549138904",
            "country_code": "US",
            "telephone_number": "920-969-5353",
            "fax_number": "414-337-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264874",
            "country_code": "US",
            "telephone_number": "414-266-2420",
            "fax_number": "414-266-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "KENNETH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "27624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "002000215L",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124079082",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.