Edward Robert Kinsfogel, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17357-020 Issued in WI

Practice address

13116 N Fox Hollow Rd
Mequon, WI 53097-1805

Phone

(262) 242-5092

NPI assigned

Jan 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Radiology Associates of Milwaukee, S.C.

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1306881081
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1245477025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13116 N FOX HOLLOW RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971805",
            "telephone_number": "262-242-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13116 N FOX HOLLOW RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971805",
            "telephone_number": "262-242-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSFOGEL",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "17357-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Y Kim, LPN
• Michael I Kim, D.D.S.
• Alan A Kimmel, DDS
• Rebecca Charlene Kind
• Alisha Leigh Kinney, AGNP-C
• Anna Kinzel
• Kittleson Orthodontics, S.C.
• Connie Kittleson, PT
• John C. Kittleson, D.D.S.
• Russell Theodore Kittleson, DDS

• Diagnostic Radiology Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.