Active NPI
Mounica D Robinson, M.D.
- Emergency Medicine Physician
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 74738
- Practice address
- 10400 75TH St
Kenosha, WI 53142-7884 - Phone
- (262) 948-5600
- NPI assigned
- Jun 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125068536 | IL | |
| Emergency Medicine Physician | 207P00000X | 036148628 | IL | |
| Emergency Medicine Physician | 207P00000X | 74738 | WI | Primary |
Addresses
Primary practice location
10400 75TH St
Kenosha, WI 53142-7884
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 759-4323
Other practice location 2
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 684-4077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100158563 | Medicaid | WI |
Other names 1
- Mounica Donepudi
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mrobinson227372@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Boston University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036148628 | IL | MD | Emergency Medicine Physician |
| 125068536 | IL | MD | Emergency Medicine Physician |
| 74738 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Harvey Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
1122 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 466-8200
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Interoperability endpoints
- mrobinson227372@direct.myadvocateaurora.org
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Emergency Medicine Physician
- Yorkville, IL
- NPI 1407379423
-
- Emergency Medicine Physician
- Calumet City, IL
- NPI 1184281651
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba Advocate Christ Medical Group
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Emergency Medicine Physician
- Aurora, IL
- NPI 1508389628
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1194176651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 75TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427884",
"telephone_number": "262-948-5600"
}
],
"practiceLocations": [
{
"address_1": "4201 W Medical Center Dr",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600508409",
"country_code": "US",
"telephone_number": "815-759-4323",
"fax_number": "815-363-9094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4440 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "60453",
"country_code": "US",
"telephone_number": "708-684-4077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "MOUNICA",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125068536",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036148628",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "74738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100158563",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "10400 75th St",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531427884",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrobinson227372@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "10400 75th St",
"city": "Kenosha",
"state": "WI",
"country_code": "US",
"postal_code": "531427884",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MOUNICA",
"last_name": "DONEPUDI",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.