Active NPI
Kenneth D Friedman, MD
- Hematology & Oncology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 27624
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002000215L | Other | HUMANA | |
| 1124079082 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology
- Education
- State University of Ny Upstate Medical University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27624 | WI | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Versiti Blood Health Inc. | Current | Accepting new patients | |
| Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Versiti Blood Health Inc. | Current | 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
- 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.
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1942970405
-
- Hematology (Internal Medicine) Physician
- Green Bay, WI
- NPI 1851390686
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Blood Banking & Transfusion Medicine Physician
- Milwaukee, WI
- NPI 1881784056
-
- Specialty Pharmacy
- Milwaukee, WI
- NPI 1124098330
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Milwaukee, WI
- NPI 1750482022
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.