Kevin E. Gentile, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

48873 Issued in WI

Practice address

740 Deerwood Ave
Neenah, WI 54956

Phone

(920) 751-9600

Fax

(920) 751-9667

NPI assigned

Apr 21, 2006

Last updated

May 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgentile336139@direct.thedacare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thedacare Medical Center - Shawano, Inc.

  • Critical Access Hospital
  • Shawano, WI
  • NPI 1548260839
  Medicare reassignment NPD
• Thedacare, Incorporated

  dba ThedaCare Physicians

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Thedacare Medical Center - Shawano, Inc.

  dba ThedaCare Apothecary-Shawano

  • Community/Retail Pharmacy
  • Shawano, WI
  • NPI 1306516604
  NPD

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1134185861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 DEERWOOD AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561601",
            "telephone_number": "920-751-9600",
            "fax_number": "920-751-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DEERWOOD AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "54956",
            "telephone_number": "920-751-9600",
            "fax_number": "920-751-9667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 E Enterprise Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137729",
            "country_code": "US",
            "telephone_number": "920-954-2551",
            "fax_number": "920-954-2554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811941",
            "country_code": "US",
            "telephone_number": "715-256-3000",
            "fax_number": "715-256-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "KEVIN",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "48873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34914200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gastrointestinal Specialists SC
• Natalie L Gehringer, MD
• Ashley Gehrke, APNP
• Angie Geiger, M.D.
• Molly Kristine Geniesse, BSN-RN
• Raymond Frank Georgen, M.D.
• Brianna Gerhartz
• Jaclyn Joy Gerken, PT
• Michelle E Gerow, M.D.
• Samantha Gherna

• Pediatrics Physician in Neenah, WI
• Providers in Neenah, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.